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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
$134.90 / $257.04 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $309.03 / $831.76