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Oklahoma 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
$1,000.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.74 / $584.74 / $602.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.03 / $627.17 / $832.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.14 / $685.82 / $778.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,265.00 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.88 / $604.38 / $3,320.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $569.85 / $806.15