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Alabama rates for HCPCS 33951

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,445.44 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $524.81 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $426.58 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $630.96 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,659.59 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $691.83