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Alaska rates for HCPCS 33962

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), open, 6 years and older (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.69 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.97 / $1,295.90 / $1,295.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.33 / $797.33 / $797.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.81 / $1,295.90 / $1,853.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.92 / $1,438.50 / $1,860.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.25 / $993.25 / $1,516.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.81 / $1,295.90 / $1,853.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.10 / $1,018.50 / $1,567.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.86 / $956.79 / $1,481.98