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Louisiana rates for HCPCS 33957

Ecmo/Ecls Repos Periph Cannula Perq Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.75 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.01 / $258.75 / $282.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.18 / $943.85 / $1,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.98 / $330.18 / $597.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.45 / $255.06 / $333.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.13 / $287.70 / $427.37