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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.74 / $461.74 / $500.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.28 / $568.71 / $645.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.78 / $520.51 / $1,093.61