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Wisconsin rates for HCPCS 33986

Ecmo/Ecls Rmvl Of Central Cannula 6 Yrs & Older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.29 / $997.09 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.00 / $3,496.00 / $5,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.44 / $1,443.70 / $2,328.64
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.47 / $683.97 / $962.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.41 / $2,803.00 / $7,868.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.47 / $683.97 / $962.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.65 / $1,546.70 / $2,012.91
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,398.40 / $9,398.40 / $9,398.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00