search again

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
$776.25 / $4,677.35 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $549.54 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $9,772.37 / $20,417.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $1,318.26 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $794.33 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,162.28 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $676.08 / $1,148.15