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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.37 / $297.37 / $321.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.35 / $374.40 / $426.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.32 / $344.96 / $702.74