| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $7,943.28 | $16,595.87 | |
Medcost
| Facility | $524.81 | $741.31 | $1,230.27 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |
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 | $707.95 | $7,943.28 | $16,595.87 | |
Medcost
| Facility | $524.81 | $741.31 | $1,230.27 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |