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Georgia 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
$263.38 / $5,063.00 / $7,421.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.48 / $263.38 / $511.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.37 / $2,722.51 / $5,292.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.18 / $361.15 / $583.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.66 / $399.53 / $654.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.85 / $315.99 / $2,331.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.49 / $388.10 / $417.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.00 / $3,629.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.81 / $379.46 / $593.94