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Iowa rates for HCPCS 33952

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $5,370.32 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $630.96 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,122.02 / $6,606.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $7,413.10