| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $426.58 | $8,511.38 | |
Medica
| Facility | $416.87 | $562.34 | $1,258.93 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $426.58 | $8,511.38 | |
Medica
| Facility | $416.87 | $562.34 | $1,258.93 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |