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Missouri rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.25 / $219.40 / $355.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,180.00 / $4,214.00 / $9,918.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.33 / $262.86 / $417.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.07 / $302.50 / $500.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.25 / $307.29 / $2,236.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.59 / $389.33 / $1,798.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.00 / $3,300.00 / $11,186.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.41 / $305.68 / $572.07