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Kansas 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
$1,930.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.74 / $228.68 / $298.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.85 / $321.00 / $321.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.93 / $270.00 / $423.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $350.01 / $4,552.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.01 / $285.83 / $1,295.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.11 / $284.01 / $400.93