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Utah rates for HCPCS 30920

Ligation Arteries Int Maxillary Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$948.09 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.09 / $948.09 / $2,151.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.17 / $1,212.65 / $1,862.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $547.11 / $808.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,735.70 / $6,043.65 / $8,807.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.19 / $1,439.32 / $1,725.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.56 / $949.61 / $1,751.04