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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
$722.33 / $1,268.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.00 / $722.33 / $896.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.64 / $424.18 / $500.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.78 / $633.90 / $1,462.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,754.00 / $5,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.20 / $463.75 / $697.49