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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
$1,047.13 / $5,495.41 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $309.03 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $398.11 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $380.19 / $616.60
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $20,892.96 / $33,113.11
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $199.53 / $331.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $5,128.61 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $371.54 / $630.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17