go back

Vermont 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
Professional
Modifier
Low / Median / High Price
$259.61 / $259.61 / $259.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.42 / $329.93 / $699.57
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.42 / $329.93 / $699.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.08 / $293.14 / $858.65