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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
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.74 / $201.74 / $1,188.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,424.93 / $17,657.45 / $34,155.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.91 / $330.51 / $440.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.13 / $502.14 / $679.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.22 / $402.13 / $4,406.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.70 / $481.15 / $626.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.07 / $498.53 / $679.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.16 / $502.14 / $679.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.70 / $481.15 / $621.63