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Michigan rates for HCPCS 33959

Ecmo/Ecls Repos Perph Cannula Open Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.14 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.55 / $286.52 / $320.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.92 / $1,547.23 / $3,568.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.99 / $324.06 / $460.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.88 / $358.12 / $448.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.52 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.32 / $263.80 / $414.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.27 / $209.18 / $308.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.49 / $347.85 / $461.50