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Montana 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
$260.48 / $1,188.97 / $1,188.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.12 / $359.12 / $359.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.35 / $359.12 / $359.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.12 / $359.12 / $359.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.60 / $313.94 / $479.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.89 / $407.40 / $628.99