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Oklahoma 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
$1,000.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.45 / $633.45 / $653.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.29 / $698.57 / $884.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.34 / $762.67 / $865.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,265.00 / $6,272.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.08 / $661.47 / $3,603.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.19 / $632.84 / $881.59