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Nevada 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
$554.74 / $4,396.00 / $10,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.46 / $554.74 / $2,506.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.00 / $3,931.00 / $5,258.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.75 / $684.16 / $993.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.60 / $551.66 / $792.48
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $542.07 / $768.81
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $439.32 / $658.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $2,819.00 / $6,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.52 / $698.67 / $949.03