go back

Maine rates for HCPCS 33964

Ecmo/Ecls Ecls Repos Central Cnula 6yrs & Older

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.24 / $736.41 / $736.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.70 / $620.91 / $938.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.70 / $736.41 / $1,028.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.49 / $592.74 / $922.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.24 / $736.41 / $736.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.20 / $703.34 / $848.86