go back

Arizona rates for HCPCS 33957

Ecmo/Ecls Repos Periph Cannula Perq Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.17 / $207.80 / $939.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.25 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.75 / $178.33 / $222.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.36 / $224.24 / $324.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.97 / $340.53 / $4,337.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.88 / $219.26 / $426.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.88 / $219.26 / $354.73