go back

Oklahoma 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
$1,000.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.56 / $288.56 / $297.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.10 / $308.92 / $412.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.28 / $328.53 / $372.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.52 / $1,265.00 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.29 / $296.06 / $1,647.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.04 / $273.76 / $398.97