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Utah rates for HCPCS 33957

Ecmo/Ecls Repos Periph Cannula Perq Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.20 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.20 / $305.20 / $545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.97 / $271.43 / $336.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.22 / $163.48 / $237.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.24 / $375.80 / $442.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.88 / $217.21 / $385.92