go back

Wyoming 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
$206.22 / $206.22 / $206.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.00 / $526.00 / $631.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.00 / $303.92 / $498.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.95 / $670.99 / $805.20