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Michigan 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
$309.03 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $275.42 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $338.84 / $371.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $691.83 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $275.42 / $371.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $316.23 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $6,025.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $331.13 / $446.68