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Rhode Island 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
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.50 / $286.52 / $286.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.58 / $299.51 / $576.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.82 / $347.45 / $529.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.82 / $334.57 / $515.75