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Texas 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
$894.46 / $3,596.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,405.32 / $4,634.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.11 / $742.11 / $742.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $14,592.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.99 / $968.51 / $1,850.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.99 / $968.51 / $2,093.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00