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Kentucky 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
$331.01 / $498.02 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.00 / $8,584.00 / $11,253.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.14 / $440.02 / $507.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.36 / $386.36 / $386.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00