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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)

Facilitymedian $5,012 · 10th–90th $479–$11,2200%10%20%10th90th$5,012Professionalmedian $562 · 10th–90th $479–$8910%20%40%10th90th$562$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $794.33 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $602.56 / $891.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $549.54 / $630.96
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $616.60 / $724.44
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $630.96 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $831.76 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $933.25 / $2,238.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $4,466.84 / $28,183.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $776.25 / $1,000.00