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Virginia rates for HCPCS 33957

Ecmo/Ecls Repos Periph Cannula Perq Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.74 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.23 / $209.74 / $293.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.80 / $207.27 / $288.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.27 / $242.60 / $473.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.47 / $249.16 / $420.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.92 / $201.50 / $248.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.25 / $239.30 / $344.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.00 / $259.00 / $461.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.06 / $260.27 / $3,658.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.06 / $260.27 / $3,658.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.00 / $271.70 / $401.81