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Indiana rates for HCPCS 33964

Ecmo/Ecls Ecls Repos Central Cnula 6yrs & Older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.42 / $578.11 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.76 / $546.03 / $704.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.59 / $708.97 / $957.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.75 / $548.99 / $633.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.42 / $506.76 / $633.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.38 / $697.60 / $1,761.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $5,660.00 / $11,929.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.63 / $624.65 / $996.56