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Vermont 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
Professional
Modifier
Low / Median / High Price
$237.81 / $237.81 / $237.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.08 / $293.99 / $621.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.08 / $293.99 / $621.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.11 / $272.29 / $763.34