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Colorado 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
$2,551.00 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.01 / $543.01 / $784.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.02 / $650.32 / $941.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.87 / $729.75 / $970.04
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.01 / $621.24 / $912.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.99 / $708.68 / $911.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,408.00 / $7,328.00 / $14,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.76 / $801.91 / $1,292.00