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Massachusetts rates for HCPCS 33958

Ecmo/Ecls Repos Perph Cannula Prq 6 Yrs & Older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.43 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.43 / $200.05 / $350.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.25 / $1,813.50 / $4,256.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.94 / $304.92 / $1,267.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.95 / $364.51 / $647.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.39 / $300.00 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.81 / $251.42 / $449.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.18 / $419.58 / $556.71
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.33 / $504.33 / $504.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,446.00 / $5,876.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.73 / $342.53 / $1,267.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.16 / $304.92 / $609.21