go back

Virginia 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
$944.40 / $5,048.00 / $14,070.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.00 / $912.00 / $1,124.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.32 / $1,082.81 / $1,542.80
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.04 / $1,122.98 / $3,935.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00