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South Dakota rates for HCPCS 33946

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-venous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.07 / $313.07 / $313.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.43 / $488.66 / $821.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.48 / $730.62 / $946.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.79 / $516.33 / $588.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00