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Nationwide rates for HCPCS 33963

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.04 / $3,606.50 / $8,364.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.15 / $548.78 / $732.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $3,931.00 / $8,240.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.04 / $615.76 / $959.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.78 / $794.78 / $1,535.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.77 / $719.05 / $1,148.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $3,325.00 / $8,198.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.02 / $704.02 / $1,197.85