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Alaska rates for HCPCS 33947

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.87 / $10,900.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.73 / $1,916.61 / $2,740.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.73 / $1,916.61 / $2,740.75