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North Carolina 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
$229.09 / $831.76 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $263.03 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $691.83 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $616.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $275.42 / $478.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $3,890.45 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $338.84 / $575.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,290.87 / $2,290.87
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,949.84 / $1,949.84