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Tennessee 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
$1,604.61 / $2,678.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.00 / $2,324.00 / $4,372.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,592.00 / $15,000.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,486.00 / $4,918.00