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Nevada 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $4,466.84 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,000.00 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,073.80 / $5,888.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,230.27 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $1,380.38
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $912.01 / $1,288.25
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $1,096.48
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,570.40 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,174.90 / $1,513.56