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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
$1,288.25 / $5,623.41 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $602.56 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $912.01 / $4,897.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $691.83 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $691.83 / $891.25