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California rates for HCPCS 33954

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, 6 years and older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.23 / $9,639.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,629.00 / $6,986.00 / $13,707.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $1,693.95
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.00 / $477.03 / $572.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.33 / $548.55 / $1,035.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,764.21 / $5,872.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.89 / $564.54 / $768.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,319.00 / $20,279.00