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Indiana rates for HCPCS 33957

Ecmo/Ecls Repos Periph Cannula Perq Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.89 / $221.89 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.91 / $204.22 / $263.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.68 / $272.99 / $368.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $205.99 / $237.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.37 / $190.14 / $237.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.16 / $268.62 / $405.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.52 / $248.98 / $398.10