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New Hampshire rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Facilitymedian $3,388 · 10th–90th $832–$9,7720%10%10th90th$3,388Professionalmedian $275 · 10th–90th $204–$5250%10%20%10th90th$275$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $831.76 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $234.42 / $446.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $5,888.44 / $9,120.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $416.87 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $363.08 / $588.84
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $3,388.44 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $316.23 / $489.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $3,388.44 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $338.84 / $588.84
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $112.20 / $245.47