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Iowa rates for HCPCS 33963

Ecmo/Ecls Repos Central Perph Cannula Birth-5yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $5,549.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.22 / $688.46 / $2,534.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.18 / $1,088.83 / $1,221.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.42 / $688.88 / $1,745.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.33 / $1,163.50 / $7,305.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.16 / $1,062.83 / $1,862.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.46 / $1,051.49 / $1,356.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.68 / $992.72 / $1,356.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.07 / $1,008.70 / $1,453.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.98 / $910.10 / $1,070.70