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Rhode Island rates for HCPCS 33987

Artery Expos/Graft Artery Perfusion Ecmo/Ecls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.08 / $254.18 / $255.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.18 / $264.92 / $458.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.85 / $306.75 / $470.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.92 / $297.54 / $458.50