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Nebraska 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
$758.58 / $7,943.28 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $17,378.01 / $33,884.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $741.31 / $7,943.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $954.99 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84