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Missouri rates for HCPCS 33964

Ecmo/Ecls Ecls Repos Central Cnula 6yrs & Older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.73 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $587.84 / $611.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.36 / $590.95 / $981.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.00 / $758.13 / $1,451.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $917.60 / $9,353.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.79 / $852.11 / $3,464.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.00 / $2,693.00 / $10,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.79 / $782.50 / $1,449.04