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New Mexico rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,548.82 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,047.13 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,230.27 / $1,621.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,258.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,148.15 / $1,949.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,202.26 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $9,120.11 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,202.26 / $1,949.84