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Georgia 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
$534.96 / $5,063.00 / $7,421.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.37 / $2,722.51 / $5,292.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.91 / $645.05 / $4,591.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.00 / $3,629.00 / $10,000.00