go back

Vermont rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,023.29 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,230.27 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,202.26 / $3,467.37