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Iowa rates for HCPCS 33964

Ecmo/Ecls Ecls Repos Central Cnula 6yrs & Older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $5,549.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.59 / $726.73 / $2,674.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.16 / $1,149.55 / $1,289.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.53 / $726.03 / $1,785.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.69 / $1,228.17 / $7,305.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.28 / $1,121.67 / $1,905.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.18 / $1,105.06 / $1,430.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.35 / $1,046.57 / $1,430.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,854.53 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.20 / $1,064.56 / $1,534.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.01 / $959.50 / $1,128.80