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Illinois 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 / $3,090.30 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $5,011.87 / $9,549.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $724.44 / $2,454.71
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,884.03 / $7,413.10