go back

North Carolina rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.01 / $332.90 / $6,953.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $219.23 / $394.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.51 / $379.05 / $547.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $515.00 / $35,600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.62 / $332.63 / $561.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.01 / $279.89 / $409.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.00 / $285.83 / $523.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.40 / $291.70 / $483.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.00 / $661.00 / $4,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.62 / $251.03 / $524.70
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,352.40 / $1,673.70
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.05 / $1,798.05 / $1,798.05