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Minnesota rates for HCPCS 33987

Artery Expos/Graft Artery Perfusion Ecmo/Ecls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.13 / $207.13 / $207.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.13 / $243.88 / $306.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.31 / $467.21 / $856.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.14 / $475.60 / $737.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.35 / $648.58 / $1,560.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.49 / $602.97 / $874.46
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.79 / $592.96 / $1,228.54
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.61 / $496.93 / $739.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.17 / $379.07 / $3,500.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.72 / $439.85 / $865.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.72 / $434.36 / $821.91