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Mississippi 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
$206.99 / $1,032.77 / $2,010.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.99 / $274.61 / $1,032.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.00 / $703.00 / $703.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.12 / $378.56 / $574.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $1,236.00 / $8,817.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.78 / $326.35 / $603.97