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West Virginia 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
$446.39 / $446.39 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.84 / $511.26 / $557.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.59 / $480.59 / $480.59