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Kansas 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
$707.95 / $5,623.41 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $338.84 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $602.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $776.25 / $4,897.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $389.05 / $501.19