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West Virginia 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
$284.83 / $284.83 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.83 / $297.37 / $332.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.87 / $325.45 / $354.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.20 / $315.20 / $315.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.18 / $305.18 / $305.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.20 / $419.26 / $1,237.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.44 / $391.43 / $584.03