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Nebraska rates for HCPCS 33957

Ecmo/Ecls Repos Periph Cannula Perq Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.25 / $159.25 / $939.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,424.93 / $17,657.45 / $34,155.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.66 / $260.20 / $346.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.38 / $395.32 / $535.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.04 / $337.94 / $4,406.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.16 / $402.90 / $526.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.11 / $393.01 / $535.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.66 / $395.32 / $535.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.03 / $394.75 / $474.18