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West Virginia rates for HCPCS 30920

Ligation arteries; internal maxillary artery, transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $933.25 / $1,445.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,096.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,202.26 / $4,365.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,348.96