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New Hampshire rates for HCPCS 30920

Ligation Arteries Int Maxillary Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,956.10 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.54 / $751.61 / $2,956.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.53 / $1,577.27 / $2,295.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.23 / $1,858.42 / $2,654.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.96 / $1,920.24 / $3,188.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.76 / $1,431.20 / $2,886.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.67 / $737.74 / $938.94