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Arkansas 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
$515.67 / $1,688.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.95 / $515.67 / $631.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.87 / $537.17 / $537.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.05 / $722.84 / $881.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.41 / $572.16 / $851.03