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California rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.68 / $9,674.00 / $22,788.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.92 / $234.28 / $863.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.54 / $200.54 / $200.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $5,312.00 / $10,564.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.35 / $290.92 / $585.09
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $100.00 / $5,487.90
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.52 / $242.42 / $556.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.55 / $750.00 / $5,431.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.48 / $285.68 / $628.38
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.96 / $139.16 / $303.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.32 / $256.77 / $475.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,673.70 / $1,713.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.05 / $1,798.05 / $1,798.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.05 / $274.44 / $395.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.71 / $305.56 / $578.52
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.13 / $695.13 / $695.13
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.96 / $165.52 / $259.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.00 / $4,820.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.64 / $237.29 / $545.75