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South Carolina rates for HCPCS 33958

Ecmo/Ecls Repos Perph Cannula Prq 6 Yrs & Older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.55 / $497.87 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.35 / $249.55 / $286.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.84 / $419.00 / $736.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.55 / $273.02 / $415.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.83 / $262.01 / $411.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.43 / $228.83 / $349.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.16 / $277.37 / $497.09