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Florida 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
$267.18 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.27 / $267.18 / $369.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.76 / $529.76 / $529.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.27 / $361.60 / $598.83
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,460.00 / $21,065.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.17 / $203.75 / $410.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.83 / $305.05 / $383.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.00 / $5,417.00 / $13,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.82 / $357.93 / $619.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $202.73 / $202.73