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Utah rates for HCPCS 33987

Artery Expos/Graft Artery Perfusion Ecmo/Ecls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.70 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.70 / $324.70 / $616.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.80 / $302.48 / $380.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.77 / $163.48 / $237.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.70 / $399.81 / $470.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.32 / $244.80 / $434.88