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Texas 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
$536.60 / $3,682.00 / $13,004.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.09 / $721.23 / $3,743.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.78 / $377.78 / $377.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $5,142.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.08 / $495.33 / $949.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.08 / $495.33 / $1,071.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00