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Oklahoma 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
$1,000.00 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $234.42 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $316.23 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $309.03 / $363.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $1,288.25 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $251.19 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,949.84 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $346.74