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Louisiana rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.98 / $2,562.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.76 / $294.95 / $339.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.45 / $302.51 / $392.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $184.71 / $184.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.55 / $525.00 / $1,100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.95 / $293.49 / $492.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,261.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.06 / $263.27 / $442.02