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Florida 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
$1,047.13 / $5,495.41 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $549.54 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $398.11 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $676.08 / $1,122.02
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $20,892.96 / $33,113.11
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $354.81 / $588.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $5,128.61 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $660.69 / $1,148.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08