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Vermont 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
Professional
Modifier
Low / Median / High Price
$190.55 / $354.81 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $436.52 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $436.52 / $1,096.48