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Missouri 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 $2,512 · 10th–90th $676–$5,7540%5%10th90th$2,512Professionalmedian $603 · 10th–90th $490–$1,0720%20%10th90th$603$100.0$500.0$2.0K$10.0K

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
$588.84 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $588.84 / $1,071.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $588.84 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $501.19 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $758.58 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $1,288.25 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $794.33 / $3,467.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,818.38 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $741.31 / $1,202.26