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Indiana rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.12 / $233.09 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.58 / $209.81 / $291.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,430.23 / $6,151.19 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.86 / $267.80 / $361.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.81 / $248.05 / $286.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.81 / $218.95 / $286.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.55 / $238.55 / $761.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.56 / $277.04 / $455.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.00 / $5,076.00 / $10,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.81 / $235.75 / $401.06