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Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,187.76 / $2,630.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $933.25 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,023.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,047.13 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $891.25 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,000.00 / $1,071.52
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $1,096.48