go back

Oregon rates for HCPCS 33987

Artery Expos/Graft Artery Perfusion Ecmo/Ecls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.04 / $2,747.00 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.94 / $405.04 / $1,057.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.52 / $414.56 / $595.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.58 / $443.27 / $504.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.23 / $383.83 / $577.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.43 / $460.65 / $642.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.37 / $383.21 / $410.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.23 / $418.59 / $577.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.86 / $481.77 / $623.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.92 / $1,078.92 / $1,078.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.10 / $489.51 / $644.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,364.00 / $7,664.00 / $36,803.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.08 / $427.00 / $637.67