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Kansas 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
$1,930.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.51 / $526.05 / $687.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.37 / $594.54 / $594.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.50 / $624.00 / $979.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $783.00 / $4,552.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.22 / $657.58 / $2,974.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.26 / $642.61 / $926.56