go back

Illinois rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.35 / $1,272.00 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.40 / $219.23 / $405.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.03 / $2,330.32 / $4,666.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.80 / $289.70 / $373.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.55 / $587.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.98 / $303.75 / $477.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.24 / $346.41 / $1,007.88
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.00 / $264.89 / $288.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $325.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.00 / $2,873.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.17 / $304.98 / $483.11