go back

Idaho rates for HCPCS 33957

Ecmo/Ecls Repos Periph Cannula Perq Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.83 / $237.32 / $545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.27 / $306.36 / $342.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.06 / $291.51 / $698.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.20 / $305.67 / $349.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $275.33 / $306.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.51 / $357.24 / $364.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.26 / $282.73 / $396.64