| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.51 | $274.51 | $8,500.00 | |
Medica
| Facility | $274.51 | $350.31 | $823.53 |
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 | $274.51 | $274.51 | $8,500.00 | |
Medica
| Facility | $274.51 | $350.31 | $823.53 |