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Oklahoma 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)

Facilitymedian $2,512 · 10th–90th $251–$6,6070%10%20%10th90th$2,512Professionalmedian $219 · 10th–90th $135–$2950%20%10th90th$219$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $208.93 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $275.42 / $338.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $1,412.54 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $229.09 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $2,511.89 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $213.80 / $309.03