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Illinois 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
$457.09 / $3,090.30 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $288.40 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,691.53 / $5,248.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $338.84 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $363.08 / $489.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $398.11 / $1,380.38
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $302.00 / $331.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,884.03 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $354.81 / $549.54