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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.06 / $3,321.60 / $5,432.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.34 / $950.31 / $4,466.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $6,416.00