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Illinois rates for HCPCS 33964

Ecmo/Ecls Ecls Repos Central Cnula 6yrs & Older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.98 / $1,711.68 / $5,549.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.94 / $605.98 / $968.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,681.99 / $5,736.88 / $11,488.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.36 / $717.27 / $838.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.26 / $770.52 / $1,175.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.36 / $826.87 / $2,440.55
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.01 / $629.23 / $702.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $794.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.00 / $2,714.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.79 / $763.00 / $1,243.42