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Nevada 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
$302.00 / $4,466.84 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $331.13 / $1,348.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,073.80 / $5,888.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $398.11 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $309.03 / $446.68
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $302.00 / $426.58
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $363.08
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,570.40 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $389.05 / $501.19