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Kansas 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
$1,230.27 / $5,623.41 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $588.84 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $691.83 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $912.01 / $4,897.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $660.69 / $870.96