go back

Alabama rates for HCPCS 33964

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition central cannula(e) by sternotomy or thoracotomy, 6 years and older (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,445.44 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $741.31 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,659.59 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $537.03 / $794.33