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Wyoming 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
$269.14 / $269.14 / $269.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.00 / $688.00 / $826.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.20 / $420.94 / $654.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.65 / $705.50 / $1,122.00