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Alabama rates for HCPCS 33969

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,445.44 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $331.13 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $338.84 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $407.38 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,659.59 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $302.00 / $446.68