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California 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
$426.75 / $9,639.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.00 / $8,971.00 / $18,030.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $1,693.95
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.94 / $239.00 / $286.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.80 / $278.45 / $515.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,366.32 / $2,931.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.80 / $281.83 / $385.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,319.00 / $20,279.00