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Alaska rates for HCPCS 33987

Artery Expos/Graft Artery Perfusion Ecmo/Ecls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.44 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.01 / $1,155.20 / $1,155.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.39 / $711.39 / $711.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.26 / $1,155.20 / $1,651.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.05 / $1,272.59 / $1,656.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.50 / $878.70 / $1,353.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.26 / $1,155.20 / $1,651.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.83 / $906.00 / $1,391.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.12 / $853.68 / $1,319.05