go back

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
$312.86 / $312.86 / $312.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.32 / $372.86 / $787.56
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.32 / $372.86 / $787.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.23 / $353.41 / $966.65