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Alabama rates for HCPCS 33987

Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.84 / $1,268.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.79 / $355.84 / $441.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.57 / $251.46 / $296.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.48 / $300.83 / $720.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,754.00 / $5,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.49 / $228.09 / $342.23