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Nebraska 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
$489.78 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $338.84 / $1,348.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $17,378.01 / $33,884.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $380.19 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $575.44 / $794.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $501.19 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $549.54 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $616.60 / $831.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $524.81 / $707.95