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Massachusetts 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 $3,090 · 10th–90th $575–$5,6230%10%10th90th$3,090Professionalmedian $1,000 · 10th–90th $776–$2,0890%20%10th90th$1,000$100.0$500.0$2.0K$10.0K$50.0K

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
$575.44 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,000.00 / $1,905.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,454.71 / $5,011.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,258.93 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,621.81 / $2,290.87
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,071.52 / $4,897.79
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,023.29 / $1,412.54
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $3,388.44 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,148.15 / $2,089.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,454.71 / $5,011.87
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,258.93 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $2,884.03 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,445.44 / $2,398.83