go back

Tennessee 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
$986.92 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.14 / $603.11 / $986.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,326.00 / $4,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.75 / $662.33 / $1,162.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.20 / $780.00 / $1,103.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,938.87 / $9,163.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,516.88 / $3,603.36 / $4,259.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.71 / $794.73 / $1,191.04