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Washington, DC 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 / $3,090.30 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $575.44 / $1,584.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $501.19 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $616.60 / $1,202.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $2,344.23 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $1,318.26