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Massachusetts 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
$152.50 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.50 / $266.81 / $619.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.60 / $1,878.00 / $4,256.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.80 / $374.82 / $1,608.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.58 / $461.34 / $819.91
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.90 / $349.08 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.16 / $318.86 / $570.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.58 / $532.26 / $706.22
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,446.00 / $5,876.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.60 / $418.82 / $1,608.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $3,325.00 / $4,662.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.58 / $363.62 / $689.46