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Kentucky 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
$478.63 / $2,818.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $549.54 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $645.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $616.60 / $724.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $630.96 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $831.76 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $933.25 / $2,238.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $4,466.84 / $30,199.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $794.33 / $1,023.29