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Maryland rates for HCPCS 33964

Ecmo/Ecls Ecls Repos Central Cnula 6yrs & Older

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.73 / $598.41 / $667.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.94 / $646.61 / $821.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.41 / $619.70 / $1,238.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.74 / $644.66 / $1,067.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.51 / $586.23 / $1,256.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.74 / $498.74 / $702.53