go back

West Virginia 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
$547.38 / $547.38 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.42 / $632.26 / $688.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.27 / $589.27 / $589.27