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North Dakota rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.61 / $213.61 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.28 / $213.61 / $291.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.24 / $455.68 / $534.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.62 / $426.22 / $635.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.60 / $288.07 / $628.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.69 / $391.87 / $1,798.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $681.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.54 / $368.39 / $554.04