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Florida 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
$407.42 / $5,839.00 / $12,444.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.79 / $407.42 / $574.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.62 / $560.20 / $915.23
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,460.00 / $21,065.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.33 / $318.57 / $642.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.27 / $458.00 / $584.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.00 / $5,417.00 / $13,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.10 / $559.72 / $969.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.35 / $316.35 / $316.35