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West Virginia 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
$357.70 / $357.70 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.66 / $412.64 / $449.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.36 / $386.36 / $386.36