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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.86 / $200.86 / $218.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.14 / $245.91 / $279.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.89 / $250.00 / $476.24