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Kansas 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
$1,930.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.84 / $611.73 / $799.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.39 / $758.10 / $758.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.92 / $725.00 / $1,138.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $886.23 / $4,857.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.90 / $764.67 / $3,464.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,934.00 / $5,562.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.79 / $747.87 / $1,071.45