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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
$263.03 / $269.15 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $691.83 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $416.87 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $1,096.48