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Wyoming 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
$457.09 / $524.81 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,202.26 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $707.95 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $891.25 / $1,862.09