go back

California rates for HCPCS 33984

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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.12 / $9,639.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,204.00 / $9,248.00 / $18,049.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $1,693.95
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.09 / $282.93 / $339.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.14 / $330.35 / $668.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,840.20 / $3,499.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.08 / $335.58 / $455.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,319.00 / $20,279.00