go back

Oklahoma rates for HCPCS 33963

Ecmo/Ecls Repos Central Perph Cannula Birth-5yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.91 / $576.91 / $594.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.99 / $626.58 / $687.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.79 / $696.54 / $790.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,265.00 / $6,272.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.28 / $602.45 / $3,281.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.29 / $578.41 / $801.45