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Oklahoma rates for HCPCS 33957

Ecmo/Ecls Repos Periph Cannula Perq Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.75 / $227.75 / $234.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.52 / $274.33 / $311.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.57 / $1,265.00 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $237.48 / $1,295.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.75 / $222.46 / $314.94