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Colorado 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
$2,551.00 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.02 / $204.02 / $293.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.83 / $243.35 / $352.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.67 / $272.56 / $363.25
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.02 / $233.25 / $342.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.73 / $266.27 / $342.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,292.00 / $8,535.00 / $12,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.36 / $306.91 / $707.85