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Alaska rates for HCPCS 33964

Ecmo/Ecls Ecls Repos Central Cnula 6yrs & Older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.58 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,506.92 / $2,738.13 / $2,738.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.06 / $1,684.06 / $1,684.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.41 / $2,738.13 / $3,915.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.84 / $3,019.80 / $3,919.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.50 / $2,085.10 / $3,182.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.41 / $2,738.13 / $3,915.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.48 / $2,148.00 / $3,372.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.26 / $2,020.89 / $3,121.33