go back

Tennessee rates for HCPCS 33957

Ecmo/Ecls Repos Periph Cannula Perq Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.18 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.26 / $216.81 / $354.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,326.00 / $4,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.64 / $239.14 / $387.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.22 / $279.94 / $397.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,813.50 / $1,852.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.59 / $1,295.83 / $1,537.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.33 / $284.31 / $446.85