go back

Nebraska 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
$416.87 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $17,378.01 / $33,884.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $323.59 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $501.19 / $676.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $398.11 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $457.09 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $524.81 / $707.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $602.56