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California 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
$226.85 / $9,639.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.80 / $226.85 / $1,188.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,537.00 / $10,983.00 / $22,417.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.76 / $471.79 / $858.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $1,693.95
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.50 / $303.57 / $655.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.60 / $286.98 / $741.43
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.83 / $234.10 / $280.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.00 / $273.05 / $497.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,909.53 / $2,358.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.08 / $1,647.60 / $1,950.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.70 / $276.89 / $377.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.79 / $286.98 / $661.14
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.73 / $737.73 / $737.73
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.83 / $219.18 / $273.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,319.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.04 / $286.24 / $663.28