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Iowa 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
$4,277.00 / $5,549.00 / $11,100.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.99 / $271.82 / $271.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.64 / $429.96 / $481.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.30 / $272.37 / $684.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.81 / $459.38 / $6,608.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.03 / $419.77 / $709.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.13 / $414.25 / $535.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.77 / $393.01 / $535.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.48 / $398.51 / $574.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.64 / $360.30 / $423.90