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Massachusetts 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
$162.18 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $281.84 / $977.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,862.09 / $4,265.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $354.81 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $478.63 / $812.83
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $354.81 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $302.00 / $537.03
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,311.31 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $323.59 / $588.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $1,862.09 / $4,265.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $354.81 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,884.03 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $707.95