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Maine rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.09 / $257.45 / $284.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,570.93 / $8,606.21 / $9,704.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.73 / $285.81 / $430.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.55 / $238.55 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $324.52 / $473.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.29 / $300.45 / $470.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.09 / $257.45 / $321.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.35 / $306.98 / $451.93