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Indiana rates for HCPCS 33955

Ecmo/Ecls Insj Of Central Cannula Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.08 / $999.94 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.28 / $916.24 / $1,182.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.85 / $1,228.96 / $1,659.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.19 / $921.71 / $1,063.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.46 / $815.36 / $1,063.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.79 / $1,209.28 / $1,824.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.87 / $1,066.52 / $1,716.21