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Connecticut 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
$387.66 / $6,607.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.66 / $387.66 / $563.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,217.00 / $8,931.00 / $11,908.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.31 / $499.74 / $566.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.74 / $382.50 / $618.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.94 / $307.94 / $380.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,275.00 / $5,345.00 / $14,963.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.58 / $374.83 / $738.64