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Illinois rates for HCPCS 33957

Ecmo/Ecls Repos Periph Cannula Perq Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.30 / $1,609.00 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.06 / $226.30 / $360.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.60 / $2,142.48 / $4,290.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.33 / $269.33 / $269.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.55 / $284.12 / $449.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.74 / $317.77 / $967.47
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.33 / $236.05 / $263.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $298.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $2,873.00 / $7,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.44 / $292.12 / $465.42