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South Carolina 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
$574.03 / $9,062.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.64 / $574.03 / $658.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.97 / $562.00 / $988.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.17 / $630.22 / $980.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.66 / $605.47 / $945.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.87 / $457.66 / $699.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.00 / $6,107.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.51 / $605.09 / $1,149.19