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West Virginia 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
$297.41 / $297.41 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.82 / $342.53 / $373.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.48 / $319.48 / $319.48