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West Virginia 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
$499.90 / $499.90 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.52 / $573.59 / $624.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.52 / $535.52 / $535.52