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Maine 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
Professional
Modifier
Low / Median / High Price
$621.35 / $766.35 / $766.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.53 / $646.40 / $976.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.04 / $766.35 / $1,070.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.34 / $617.05 / $960.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.35 / $766.35 / $766.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.92 / $758.39 / $960.15