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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
$3,715.35 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $288.40 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $346.74 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,548.13 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $331.13 / $512.86