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Texas 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
$977.24 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $263.03 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $251.19 / $354.81
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $309.03 / $512.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $2,290.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,949.84 / $1,949.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $1,000.00 / $6,918.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $302.00 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $181.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $288.40 / $549.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $309.03 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,454.71 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $263.03 / $407.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $229.09