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Indiana rates for HCPCS 33959

Ecmo/Ecls Repos Perph Cannula Open Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.24 / $281.93 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.71 / $258.70 / $338.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.07 / $346.75 / $468.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.03 / $261.31 / $301.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.03 / $230.66 / $301.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.49 / $341.20 / $514.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.73 / $318.57 / $469.33