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Kentucky 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
$455.29 / $716.87 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.29 / $521.49 / $675.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.28 / $390.92 / $585.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.34 / $603.02 / $695.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.04 / $603.02 / $861.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.46 / $529.46 / $529.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.93 / $669.92 / $1,246.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.39 / $739.14 / $996.41