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Idaho rates for HCPCS 33969

Ecmo/Ecls Rmvl Of Perph Cannula Open Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.02 / $351.17 / $805.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.51 / $453.56 / $506.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.85 / $431.44 / $1,030.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.77 / $449.45 / $513.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $405.44 / $451.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.54 / $528.53 / $538.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.47 / $408.22 / $585.34