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Washington, DC 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
$251.19 / $2,137.96 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $251.19 / $309.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $223.87 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $269.15 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $2,344.23 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $281.84 / $588.84