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Alabama rates for HCPCS 33959

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,445.44 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $288.40 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $323.59 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $354.81 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,659.59 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $257.04 / $380.19