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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
$954.99 / $3,715.35 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $758.58 / $4,073.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $5,128.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,000.00 / $6,918.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $524.81 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,454.71 / $10,232.93