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Colorado 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
$3,090.30 / $5,370.32 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $549.54 / $1,122.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,456.54 / $10,964.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $616.60 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $2,238.72 / $2,238.72
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,760.83 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,230.27