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South Carolina rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,000.00 / $1,621.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,025.60 / $11,220.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,041.74 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $1,778.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,148.15 / $1,949.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $13,182.57 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,698.24