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New Jersey rates for HCPCS 30920

Ligation Arteries Int Maxillary Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.34 / $6,064.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.28 / $824.44 / $1,505.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.39 / $1,250.80 / $2,693.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.03 / $1,369.90 / $1,613.55
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,924.40 / $7,652.20 / $16,593.68
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.42 / $972.95 / $1,870.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,378.00 / $8,305.00 / $14,121.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.04 / $848.26 / $1,847.63