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Massachusetts rates for HCPCS 43460

Esopg/Gstr Tamponade W/Balo Sengstaken Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.99 / $2,747.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.22 / $220.40 / $319.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,055.70 / $3,729.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.23 / $405.79 / $1,798.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.18 / $388.15 / $729.27
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.79 / $330.48 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.29 / $299.85 / $460.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.05 / $504.96 / $623.77
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,673.70 / $3,729.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.43 / $416.71 / $1,798.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $2,446.00 / $4,050.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.23 / $325.70 / $776.45