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Mississippi rates for HCPCS 33963

Ecmo/Ecls Repos Central Perph Cannula Birth-5yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.85 / $1,140.00 / $2,064.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.85 / $796.90 / $2,064.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.00 / $1,215.00 / $1,215.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.44 / $756.46 / $1,148.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $1,236.00 / $8,817.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.56 / $652.70 / $1,242.41