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Tennessee 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
$450.36 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.12 / $274.61 / $450.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,326.00 / $4,936.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.49 / $301.92 / $511.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.86 / $352.03 / $499.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,300.40 / $2,358.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.08 / $1,647.60 / $1,950.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.28 / $351.20 / $558.63