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Alaska rates for HCPCS 33966

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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.38 / $10,900.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.02 / $1,314.50 / $1,879.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.02 / $1,314.50 / $1,879.74