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Kansas 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
$1,930.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.73 / $257.80 / $336.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.95 / $325.82 / $325.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.72 / $296.00 / $463.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $384.61 / $4,552.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.40 / $314.92 / $1,462.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $302.60 / $452.12