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Wisconsin rates for HCPCS 33959

Ecmo/Ecls Repos Perph Cannula Open Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.61 / $444.17 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.29 / $274.61 / $444.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,496.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.75 / $537.20 / $1,332.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.39 / $645.51 / $1,041.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.07 / $668.93 / $886.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.15 / $307.64 / $428.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.12 / $2,803.00 / $7,868.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.58 / $760.54 / $1,230.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $256.57 / $504.12
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.15 / $307.64 / $428.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.25 / $687.53 / $899.35
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,358.63 / $2,358.63 / $2,358.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.98 / $1,089.59 / $1,647.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.08 / $1,134.08 / $1,134.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.95 / $1,498.95 / $1,498.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.58 / $660.30 / $1,074.48