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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
$287.02 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.02 / $455.84 / $1,126.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $1,878.00 / $5,083.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.83 / $704.31 / $2,906.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.87 / $836.82 / $1,487.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $630.51 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.48 / $576.26 / $1,030.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.49 / $962.71 / $1,277.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,854.00 / $5,876.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.79 / $790.07 / $2,906.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.49 / $704.31 / $1,397.07