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Arizona 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
$2,041.74 / $3,890.45 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $5,370.32 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $208.93 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $346.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $831.76 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $245.47 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,290.87 / $5,495.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $229.09 / $363.08