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Georgia 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
$4,365.16 / $5,888.44 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $602.56 / $1,202.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,884.03 / $4,786.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $870.96 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,412.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $630.96 / $4,677.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,235.94 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $831.76 / $1,348.96