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Oregon rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.72 / $2,747.00 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.01 / $288.07 / $662.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.70 / $1,664.70 / $1,664.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.32 / $430.16 / $595.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.70 / $440.80 / $538.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.19 / $394.68 / $619.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.24 / $380.06 / $614.94
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.30 / $408.94 / $421.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.98 / $447.20 / $619.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.62 / $455.96 / $595.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.09 / $1,109.09 / $1,109.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.16 / $488.59 / $590.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.00 / $7,664.00 / $31,303.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.11 / $459.37 / $645.44