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Utah rates for HCPCS 33953

Ecmo/Ecls Insj Of Prph Cannula Birth-5 Yrs Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.93 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.54 / $763.93 / $1,400.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.76 / $685.45 / $862.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.73 / $383.71 / $552.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.33 / $940.64 / $1,106.63
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
$470.39 / $556.79 / $1,017.96