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Idaho rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.80 / $288.07 / $622.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.62 / $337.66 / $407.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.80 / $391.92 / $660.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.24 / $356.62 / $407.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $293.76 / $369.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.65 / $417.23 / $421.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.23 / $300.37 / $485.45