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Oklahoma 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
$1,000.00 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $302.00 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $363.08 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $416.87 / $501.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,412.54 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $338.84 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,949.84 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $316.23 / $457.09