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Alaska rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.95 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.01 / $220.19 / $1,146.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.35 / $337.81 / $732.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.75 / $1,146.19 / $1,604.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.45 / $792.66 / $1,465.92
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.20 / $980.80 / $1,554.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.75 / $1,146.19 / $1,604.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.90 / $752.40 / $1,387.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.13 / $585.64 / $1,615.39