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Vermont rates for HCPCS 30920

Ligation Arteries Int Maxillary Transantral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.24 / $1,013.24 / $4,485.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.20 / $1,273.15 / $3,187.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.25 / $1,307.84 / $3,187.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.13 / $1,201.40 / $3,911.76