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Virginia 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

Facilitymedian $3,236 · 10th–90th $309–$8,9130%5%10%10th90th$3,236Professionalmedian $331 · 10th–90th $263–$5620%10%20%10th90th$331$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $3,630.78 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $331.13 / $489.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $331.13 / $467.74
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $288.40 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $371.54 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $288.40 / $354.81
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $363.08 / $575.44
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $389.05 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $389.05 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,311.31 / $6,309.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $407.38 / $602.56