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Wisconsin rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Facilitymedian $7,586 · 10th–90th $4,169$12,0230%10%10th90th$7,586Professionalmedian $1,288 · 10th–90th $832$3,3880%10%20%10th90th$1,288$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,778.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,047.13 / $2,187.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,943.28 / $12,589.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,698.24 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,691.53 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $2,754.23 / $3,090.30
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $4,168.69 / $7,413.10
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,137.96 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $7,244.36 / $12,302.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,445.44 / $5,754.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,122.02
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $8,511.38 / $9,120.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,187.76 / $2,884.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,949.84 / $3,311.31
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $8,912.51 / $8,912.51
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $4,073.80 / $6,760.83
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,137.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,786.30 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $10,232.93 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,380.38 / $3,630.78