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West Virginia rates for HCPCS 33987

Artery Expos/Graft Artery Perfusion Ecmo/Ecls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.82 / $218.82 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.82 / $227.49 / $252.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.92 / $248.89 / $271.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.04 / $241.04 / $241.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.50 / $233.50 / $233.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.21 / $321.13 / $944.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.26 / $271.27 / $440.96