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Kentucky 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
$501.19 / $2,818.38 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $575.44 / $794.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $616.60 / $691.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $630.96 / $758.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $660.69 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,000.00 / $2,344.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $4,466.84 / $30,199.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $851.14 / $1,071.52