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Pennsylvania 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
$480.34 / $5,342.00 / $13,947.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.05 / $698.05 / $698.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $5,350.00 / $13,947.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.26 / $330.26 / $384.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,322.00