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South Carolina 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
$316.23 / $7,943.28 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $263.03 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $295.12 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $331.13 / $524.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $331.13 / $549.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $6,760.83 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $316.23 / $562.34