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South Carolina 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
$281.84 / $7,943.28 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $263.03 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $467.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $295.12 / $489.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,760.83 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $501.19