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South Carolina rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.54 / $591.91 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.01 / $247.89 / $321.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.00 / $796.00 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.26 / $289.00 / $480.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $535.00 / $570.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.14 / $299.00 / $539.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.60 / $283.00 / $437.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.50 / $283.00 / $523.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.80 / $227.15 / $357.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.00 / $6,074.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.41 / $243.35 / $480.41