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Minnesota rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.28 / $196.28 / $196.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.43 / $209.81 / $354.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.99 / $1,718.03 / $3,351.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.54 / $604.09 / $734.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.18 / $716.66 / $1,724.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.30 / $650.01 / $893.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.92 / $654.00 / $1,357.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.30 / $593.03 / $817.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.99 / $353.59 / $626.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.35 / $494.67 / $1,798.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.85 / $433.83 / $853.95