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Georgia 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
$4,365.16 / $5,888.44 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $575.44 / $1,047.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,884.03 / $4,786.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $812.83 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $1,348.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $602.56 / $4,786.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,235.94 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $776.25 / $1,288.25