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Nevada 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
$234.87 / $4,396.00 / $10,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.63 / $234.87 / $1,057.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,452.00 / $5,379.00 / $8,190.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.42 / $289.49 / $401.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.76 / $224.26 / $335.52
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $221.80 / $323.45
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $184.83 / $277.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $2,606.00 / $6,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.86 / $288.95 / $388.40