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Alabama rates for HCPCS 33958

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (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
$195.35 / $267.60 / $315.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.00 / $274.37 / $642.00
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 / $201.72 / $309.50