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Oklahoma 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
$1,000.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.75 / $227.75 / $234.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.45 / $243.66 / $338.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.52 / $265.89 / $301.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.57 / $1,265.00 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $234.36 / $1,295.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.75 / $222.03 / $316.45