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Wyoming 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
$231.33 / $231.33 / $231.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.00 / $593.00 / $712.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.50 / $363.05 / $558.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.15 / $608.40 / $967.58