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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
$3,715.35 / $10,471.29 / $22,908.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,943.28 / $15,848.93
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $100.00 / $1,862.09
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $446.68 / $562.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $501.19 / $977.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $5,754.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $575.44 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $6,165.95 / $18,620.87