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Wisconsin rates for HCPCS 33946

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-venous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $588.84 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $870.96 / $1,380.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $7,413.10 / $14,454.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $3,388.44 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $707.95 / $1,023.29
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45