go back

Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.83 / $515.83 / $559.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.52 / $634.23 / $719.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.19 / $580.69 / $1,218.84