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Arkansas 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
$284.77 / $1,688.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.18 / $284.77 / $338.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.84 / $297.58 / $297.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.76 / $410.64 / $486.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.55 / $309.29 / $471.30