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Iowa 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
$398.11 / $5,370.32 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $363.08 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $630.96 / $707.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $707.95 / $6,606.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $575.44 / $1,047.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $630.96 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $478.63 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,248.07 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $457.09 / $851.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $524.81 / $616.60