| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $320.50 | $637.48 | $16,467.00 | |
Medcost
| Facility | $243.54 | $329.70 | $527.94 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
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 | $320.50 | $637.48 | $16,467.00 | |
Medcost
| Facility | $243.54 | $329.70 | $527.94 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |