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Alabama rates for HCPCS 33957

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.60 / $1,268.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.26 / $314.60 / $390.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.68 / $273.54 / $322.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.00 / $283.39 / $652.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,754.00 / $5,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.08 / $193.44 / $293.54