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Alaska rates for HCPCS 33955

Ecmo/Ecls Insj Of Central Cannula Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.46 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,210.93 / $4,597.14 / $4,597.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,830.55 / $2,830.55 / $2,830.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.56 / $4,597.14 / $6,573.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,952.93 / $5,071.50 / $6,582.03
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,018.75 / $3,501.75 / $5,409.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.56 / $4,597.14 / $6,573.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.65 / $3,610.50 / $5,771.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.50 / $3,396.66 / $5,246.39