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Michigan rates for HCPCS 33955

Ecmo/Ecls Insj Of Central Cannula Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.22 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.44 / $1,096.22 / $1,291.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,011.10 / $5,482.82 / $12,643.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.67 / $836.05 / $1,337.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.24 / $1,270.17 / $1,592.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.54 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.05 / $930.84 / $1,211.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.15 / $870.35 / $1,287.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.97 / $1,193.39 / $1,585.53