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Mississippi 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
$375.12 / $1,140.00 / $2,010.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.12 / $722.33 / $1,871.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.00 / $915.00 / $915.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.80 / $680.68 / $1,041.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $1,236.00 / $8,817.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.40 / $587.37 / $1,097.16