go back

Ohio 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
$297.37 / $4,723.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.37 / $301.85 / $920.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,145.00 / $2,786.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.19 / $348.74 / $583.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.73 / $258.73 / $376.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.02 / $279.02 / $390.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.54 / $390.34 / $589.10
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.73 / $389.36 / $592.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.56 / $311.90 / $415.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.51 / $379.05 / $561.78