| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.33 | $1,268.00 | $2,250.00 | |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 |
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 | $402.33 | $1,268.00 | $2,250.00 | |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 |