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South Carolina rates for HCPCS 30920

Ligation Arteries Int Maxillary Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.74 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.12 / $1,057.74 / $1,382.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.35 / $6,259.08 / $10,885.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.33 / $902.45 / $1,597.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.00 / $2,021.41 / $2,597.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.20 / $1,114.59 / $2,252.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.12 / $1,101.89 / $1,832.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.86 / $1,788.46 / $2,203.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.49 / $666.14 / $1,202.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,316.61 / $12,269.00 / $19,591.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.10 / $1,094.92 / $2,025.76