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Utah rates for HCPCS 33963

Ecmo/Ecls Repos Central Perph Cannula Birth-5yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.09 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.09 / $775.09 / $1,382.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.01 / $689.26 / $852.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.73 / $383.71 / $552.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.37 / $954.39 / $1,122.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.81 / $497.76 / $818.82