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Alaska rates for HCPCS 33956

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,413.58 / $10,900.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.66 / $4,635.78 / $6,629.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.66 / $4,635.78 / $6,629.17