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Indiana 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)

Facilitymedian $15,488 · 10th–90th $1,380–$25,7040%10%10th90th$15,488Professionalmedian $245 · 10th–90th $204–$4470%20%10th90th$245$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $2,344.23 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $234.42 / $457.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $19,054.61 / $27,542.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $288.40 / $436.52
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $208.93 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $323.59 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $257.04 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $7,079.46 / $12,882.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $275.42 / $446.68