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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
$4,277.00 / $5,549.00 / $11,100.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.03 / $629.33 / $1,502.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.25 / $1,069.58 / $6,608.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.41 / $960.71 / $1,249.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00