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Oklahoma 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
$1,000.00 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $741.31 / $870.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,412.54 / $7,244.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,949.84 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $831.76