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Massachusetts 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
$288.40 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $512.86 / $1,819.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,862.09 / $5,128.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $645.65 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $870.96 / $1,479.11
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $630.96 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $537.03 / $954.99
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,311.31 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $588.84 / $1,071.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,862.09 / $5,128.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $645.65 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,884.03 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $724.44 / $1,288.25