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Wyoming rates for HCPCS 30920

Ligation Arteries Int Maxillary Transantral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.97 / $898.97 / $898.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.00 / $1,915.00 / $2,795.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.97 / $1,483.88 / $1,923.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $4,200.00 / $14,634.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.55 / $2,399.11 / $3,281.50