| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $820.54 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $344.71 | $1,576.01 | $2,253.69 | |
Providence
| Facility | $344.71 | $1,576.01 | $2,253.69 |
Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, 6 years and older
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $820.54 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $344.71 | $1,576.01 | $2,253.69 | |
Providence
| Facility | $344.71 | $1,576.01 | $2,253.69 |