go back

Indiana rates for HCPCS 33955

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age

Facilitymedian $8,318 · 10th–90th $1,380–$11,2200%10%10th90th$8,318Professionalmedian $955 · 10th–90th $813–$1,6600%20%10th90th$955$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $2,344.23 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $912.01 / $1,412.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $8,912.51 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,230.27 / $1,862.09
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $831.76 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,288.25 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,047.13 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $7,079.46 / $12,882.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,148.15 / $1,862.09