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Alabama 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
$796.90 / $1,268.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.18 / $796.90 / $988.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.00 / $563.01 / $664.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.57 / $719.27 / $1,657.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,754.00 / $5,201.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.31 / $514.23 / $768.89