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Tennessee rates for HCPCS 43460

Esophagogastric tamponade, with balloon (Sengstaken type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,691.53 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $234.42 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,290.87 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $323.59 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $512.86 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $295.12 / $478.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $1,659.59 / $1,659.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,454.71 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $257.04 / $416.87