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Nebraska rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,585.78 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,606.93 / $12,882.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,318.26 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,905.46 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,659.59 / $8,912.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,737.80 / $6,760.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $2,754.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $1,230.27 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $5,495.41 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,548.82 / $2,238.72