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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
$1,930.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.69 / $586.60 / $766.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.65 / $663.12 / $663.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.01 / $696.00 / $1,092.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $850.69 / $4,709.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.61 / $733.25 / $3,320.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.15 / $706.59 / $1,026.95