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Vermont 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
Professional
Modifier
Low / Median / High Price
$323.59 / $602.56 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $741.31 / $1,905.46