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Montana rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.83 / $209.62 / $1,120.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.15 / $329.15 / $329.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.99 / $329.15 / $599.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.45 / $301.79 / $416.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.31 / $337.66 / $557.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.66 / $361.67 / $502.66