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Nebraska 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
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,424.93 / $17,657.45 / $34,155.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.32 / $1,436.41 / $13,909.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.52 / $1,780.20 / $2,422.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00