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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.75 / $559.75 / $606.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.43 / $705.32 / $802.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.17 / $648.98 / $1,323.68