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North Carolina 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
$202.70 / $321.52 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.70 / $202.70 / $321.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.85 / $509.78 / $658.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.17 / $346.62 / $611.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.45 / $290.58 / $401.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.58 / $290.58 / $290.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.32 / $242.23 / $313.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.72 / $305.12 / $566.04
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $456.59 / $946.91
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.48 / $1,723.35 / $1,723.35