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Virginia 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
$575.44 / $3,630.78 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $562.34 / $812.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $812.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $1,071.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $489.78 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $660.69 / $1,047.13
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $676.08 / $7,413.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $676.08 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,467.37 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $691.83 / $1,071.52