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Wyoming 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
$507.42 / $507.42 / $507.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.00 / $1,295.00 / $1,554.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.37 / $793.36 / $1,225.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.56 / $1,666.99 / $2,113.31