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Pennsylvania rates for HCPCS 33957

Ecmo/Ecls Repos Periph Cannula Perq Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $5,526.00 / $13,947.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.58 / $214.37 / $253.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.10 / $289.98 / $376.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.66 / $258.69 / $375.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.73 / $273.73 / $288.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $5,526.00 / $13,969.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.58 / $224.86 / $1,004.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $448.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.82 / $262.43 / $417.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.03 / $177.03 / $222.52
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.10 / $180.47 / $222.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.96 / $246.86 / $402.36