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South Carolina 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
$645.65 / $7,943.28 / $16,595.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $676.08 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,760.83 / $9,120.11