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Texas 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
$363.15 / $3,596.00 / $10,836.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.71 / $211.71 / $211.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $2,855.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.79 / $275.11 / $527.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.79 / $275.11 / $591.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00