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Colorado 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
$3,090.30 / $5,370.32 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $309.03 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,456.54 / $10,964.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $363.08 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $407.38 / $549.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $1,318.26 / $1,318.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,760.83 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $707.95