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Colorado 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
$525.16 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.67 / $467.67 / $673.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.20 / $559.07 / $809.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.94 / $627.88 / $833.84
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.67 / $535.04 / $785.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.04 / $610.35 / $784.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.00 / $8,535.00 / $12,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.79 / $688.60 / $1,110.65