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Oklahoma 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
$1,000.00 / $2,630.27 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,412.54 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $512.86 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,949.84 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $489.78 / $707.95