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Arkansas rates for HCPCS 33985

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.41 / $1,688.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.49 / $625.41 / $763.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.31 / $651.59 / $651.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.36 / $898.80 / $1,067.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $1,056.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.83 / $687.18 / $1,033.56