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Iowa 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
$724.44 / $5,370.32 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,148.15 / $1,288.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $724.44 / $1,862.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,288.25 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $977.24 / $1,819.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,148.15 / $1,949.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $851.14 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,548.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $954.99 / $1,122.02