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Arkansas 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
$224.33 / $1,688.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.23 / $224.33 / $275.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.29 / $234.65 / $234.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.85 / $323.27 / $383.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.94 / $241.58 / $370.51