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West 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
$873.76 / $873.76 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.29 / $1,004.54 / $1,094.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.05 / $941.05 / $941.05