| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $384.99 | $765.46 | $16,467.00 | |
Medcost
| Facility | $292.54 | $397.25 | $630.32 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |
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 | $384.99 | $765.46 | $16,467.00 | |
Medcost
| Facility | $292.54 | $397.25 | $630.32 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |