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California 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
$3,715.35 / $10,471.29 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $354.81 / $1,445.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $11,220.18 / $17,782.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $630.96 / $1,122.02
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $100.00 / $1,862.09
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $354.81 / $851.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $257.04 / $323.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $288.40 / $575.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $3,235.94
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,238.72 / $2,238.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $331.13 / $467.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $354.81 / $812.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $6,165.95 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $346.74 / $758.58