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Maine 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
Professional
Modifier
Low / Median / High Price
$265.94 / $349.18 / $349.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.79 / $295.77 / $445.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.17 / $349.18 / $488.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.66 / $282.36 / $439.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.94 / $349.18 / $349.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.15 / $336.84 / $406.53