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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.07 / $256.07 / $276.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.53 / $323.20 / $367.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.61 / $297.31 / $603.27