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Mississippi 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
$240.93 / $1,140.00 / $2,010.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.93 / $441.29 / $1,202.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.00 / $733.00 / $733.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.83 / $440.25 / $669.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $1,236.00 / $8,817.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.33 / $353.64 / $712.29