| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $506.01 | $506.01 | $8,500.00 | |
Medica
| Facility | $506.01 | $638.52 | $1,518.03 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $506.01 | $506.01 | $8,500.00 | |
Medica
| Facility | $506.01 | $638.52 | $1,518.03 |