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Oregon 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
$354.81 / $645.65 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $354.81 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $549.54 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $537.03 / $660.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $380.19 / $912.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $870.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $501.19 / $537.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $363.08 / $645.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $512.86 / $741.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $630.96 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $10,232.93 / $37,153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $588.84 / $776.25