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South Carolina rates for HCPCS 33963

Ecmo/Ecls Repos Central Perph Cannula Birth-5yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.37 / $1,260.50 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.11 / $632.37 / $726.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.75 / $807.00 / $1,418.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.42 / $702.77 / $1,082.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.52 / $686.98 / $1,045.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.52 / $533.43 / $809.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.77 / $687.85 / $1,197.85