go back

Ohio rates for HCPCS 33957

Ecmo/Ecls Repos Periph Cannula Perq Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.86 / $6,582.00 / $11,679.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.86 / $200.86 / $620.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,786.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.40 / $303.49 / $500.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.88 / $175.88 / $256.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.67 / $189.67 / $265.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.87 / $263.85 / $397.13
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.01 / $263.85 / $402.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.77 / $234.24 / $311.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.64 / $250.22 / $380.50