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Rhode Island rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $912.01 / $2,344.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $1,096.48 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $5,128.61 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,096.48 / $1,862.09