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Kentucky 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
$505.04 / $760.17 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.00 / $8,584.00 / $11,253.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.28 / $671.55 / $774.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.27 / $589.27 / $589.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00