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Arkansas rates for HCPCS 33953

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,819.70 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $501.19 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $794.33 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,071.52 / $2,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $954.99