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Virginia rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $5,011.87 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,659.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $1,584.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,380.38 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,047.13 / $1,862.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $933.25 / $2,398.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $2,089.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,122.02 / $1,862.09
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,122.02 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,122.02 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $9,549.93 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,023.29 / $1,698.24