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Kentucky 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
$269.15 / $2,818.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $309.03 / $426.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $331.13 / $363.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $338.84 / $398.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $346.74 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $537.03 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $4,466.84 / $30,199.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $446.68 / $575.44