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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
$123.03 / $234.42 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $281.84 / $741.31