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Kansas rates for HCPCS 33965

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $5,623.41 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $229.09 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $602.56 / $4,897.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $269.15 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $263.03 / $338.84