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Colorado 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
$3,090.30 / $5,370.32 / $10,715.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,456.54 / $10,964.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $2,344.23 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,760.83 / $12,882.50