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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 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.57 / $257.57 / $265.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.11 / $284.06 / $360.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.46 / $292.00 / $331.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.00 / $996.00 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.28 / $261.58 / $1,462.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.72 / $242.72 / $354.89