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Wisconsin rates for HCPCS 33947

Ecmo/Ecls Initiation Veno-Arterial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.73 / $657.45 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,496.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.22 / $956.15 / $1,542.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.42 / $452.40 / $634.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.77 / $2,803.00 / $7,868.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.42 / $452.40 / $634.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.85 / $1,012.73 / $1,331.97
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.46 / $1,527.46 / $1,527.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00