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Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,148.15 / $1,479.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $562.34 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68