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Ohio rates for HCPCS 33955

Ecmo/Ecls Insj Of Central Cannula Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.62 / $4,723.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.62 / $903.62 / $2,800.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,786.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.06 / $925.89 / $1,530.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.55 / $787.55 / $1,146.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.32 / $849.32 / $1,026.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.44 / $1,185.08 / $1,790.22
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.31 / $1,185.08 / $1,814.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.63 / $979.70 / $1,298.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.38 / $1,181.57 / $1,894.23