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Wisconsin rates for HCPCS 33964

Ecmo/Ecls Ecls Repos Central Cnula 6yrs & Older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.23 / $932.90 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.53 / $579.23 / $932.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,496.00 / $5,962.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.38 / $1,130.17 / $2,806.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.64 / $1,356.30 / $2,187.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.23 / $1,406.34 / $1,861.73
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.08 / $645.92 / $899.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.17 / $2,803.00 / $7,868.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.20 / $1,604.46 / $2,593.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $656.61 / $1,241.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.08 / $645.92 / $899.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.70 / $1,443.32 / $1,890.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,565.54 / $11,565.54 / $11,565.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.29 / $2,298.65 / $3,464.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,388.13 / $2,388.13 / $2,388.13
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,151.42 / $3,151.42 / $3,151.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $6,163.00 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.20 / $1,492.38 / $2,264.51