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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.12 / $262.98 / $1,188.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.25 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.66 / $226.21 / $282.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.61 / $277.58 / $404.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.18 / $422.62 / $4,337.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.16 / $268.32 / $538.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.16 / $254.57 / $401.88