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Idaho 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)

Facilitymedian $4,467 · 10th–90th $741–$5,4950%20%10th90th$4,467Professionalmedian $603 · 10th–90th $468–$1,3800%20%10th90th$603$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $602.56 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,995.26 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $851.14 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $691.83 / $954.99
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $870.96 / $1,995.26
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $812.83 / $933.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $912.01 / $977.24
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $660.69 / $1,000.00