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Washington, DC 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
$516.70 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.70 / $516.70 / $516.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.33 / $462.07 / $503.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.72 / $554.44 / $1,064.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.39 / $915.39 / $915.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.46 / $619.46 / $1,234.17