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Washington, DC 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
$284.58 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.58 / $284.58 / $284.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.08 / $306.97 / $334.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.68 / $306.30 / $587.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.34 / $508.34 / $508.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.80 / $521.32 / $685.36