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Alaska rates for HCPCS 33986

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, 6 years and older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.77 / $10,900.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.04 / $2,905.61 / $4,155.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.04 / $2,905.61 / $4,155.02