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North Carolina 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
$263.03 / $977.24 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $323.59 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $676.08 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $457.09 / $724.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $316.23 / $549.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $3,890.45 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $407.38 / $676.08
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $3,235.94 / $3,235.94
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,238.72 / $2,238.72