go back

Ohio 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
$575.44 / $8,912.51 / $11,748.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,884.03 / $7,943.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $3,090.30 / $6,760.83