go back

North Dakota 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
$201.25 / $201.25 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.25 / $201.25 / $207.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.88 / $425.16 / $502.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.89 / $356.16 / $574.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.25 / $256.14 / $603.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $383.42 / $515.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.72 / $408.38 / $515.01