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North Carolina 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
$333.63 / $528.91 / $6,953.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.70 / $475.36 / $697.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $4,086.00 / $7,778.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $759.71 / $1,583.94