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Utah rates for HCPCS 33964

Ecmo/Ecls Ecls Repos Central Cnula 6yrs & Older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.95 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.95 / $795.95 / $1,458.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.03 / $714.23 / $900.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.99 / $411.20 / $592.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.44 / $980.05 / $1,153.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.00 / $4,455.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.56 / $562.79 / $1,031.03