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Utah rates for HCPCS 43460

Esopg/Gstr Tamponade W/Balo Sengstaken Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.05 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.92 / $288.07 / $622.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.87 / $317.80 / $598.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.89 / $178.54 / $227.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.39 / $353.23 / $619.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.03 / $250.40 / $404.58