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Vermont 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
Professional
Modifier
Low / Median / High Price
$288.40 / $549.54 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $676.08 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $1,698.24