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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
$612.85 / $612.85 / $612.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.36 / $751.69 / $1,593.42
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.36 / $751.69 / $1,593.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.95 / $701.54 / $1,955.75