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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 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.94 / $522.94 / $539.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.26 / $560.86 / $744.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.02 / $614.51 / $697.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,265.00 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.62 / $541.79 / $2,974.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.19 / $510.90 / $723.30