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Vermont 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
Professional
Modifier
Low / Median / High Price
$162.18 / $302.00 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $371.54 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $371.54 / $933.25