| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $684.38 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $288.02 | $1,314.50 | $1,879.74 | |
Providence
| Facility | $288.02 | $1,314.50 | $1,879.74 |
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $684.38 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $288.02 | $1,314.50 | $1,879.74 | |
Providence
| Facility | $288.02 | $1,314.50 | $1,879.74 |