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Montana 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $724.44 / $794.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $660.69 / $724.44