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Arizona rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.92 / $219.40 / $321.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.38 / $245.01 / $284.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.42 / $256.00 / $471.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.91 / $249.89 / $1,713.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.85 / $247.69 / $1,798.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $2,572.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.48 / $229.71 / $405.69