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Nevada 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
$207.80 / $4,396.00 / $10,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.99 / $207.80 / $254.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.00 / $3,931.00 / $5,258.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.11 / $256.32 / $370.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.15 / $205.34 / $296.86
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.52 / $201.87 / $289.57
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $165.47 / $248.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $2,606.00 / $6,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.96 / $261.52 / $355.23