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Missouri rates for HCPCS 33963

Ecmo/Ecls Repos Central Perph Cannula Birth-5yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.37 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.09 / $556.74 / $579.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.04 / $579.30 / $930.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.95 / $732.43 / $1,415.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $899.00 / $8,872.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.74 / $807.48 / $3,281.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.21 / $723.04 / $1,433.63