go back

Utah rates for HCPCS 33958

Ecmo/Ecls Repos Perph Cannula Prq 6 Yrs & Older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.99 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.80 / $295.99 / $545.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.97 / $266.95 / $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 / $364.46 / $428.78
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 / $212.00 / $385.92