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Virginia rates for HCPCS 33964

Ecmo/Ecls Ecls Repos Central Cnula 6yrs & Older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.66 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.65 / $556.66 / $784.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.86 / $554.92 / $773.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.94 / $646.61 / $1,260.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.26 / $655.03 / $1,124.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.23 / $536.67 / $661.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.29 / $638.73 / $919.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.00 / $670.00 / $1,218.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.34 / $677.96 / $3,658.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.34 / $677.96 / $3,658.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.00 / $3,295.00 / $5,790.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.26 / $731.41 / $1,072.13