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Louisiana rates for HCPCS 33987

Artery Expos/Graft Artery Perfusion Ecmo/Ecls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.24 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.89 / $292.24 / $318.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.38 / $1,000.34 / $1,341.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.48 / $342.27 / $435.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.06 / $289.36 / $383.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,309.00 / $7,168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.45 / $326.97 / $467.03