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Washington, DC 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
$332.31 / $1,614.00 / $33,813.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.31 / $332.31 / $332.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.23 / $357.02 / $389.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.38 / $357.17 / $683.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.95 / $589.95 / $589.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.82 / $364.83 / $795.40