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Minnesota rates for HCPCS 33947

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.79 / $345.79 / $345.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.84 / $1,418.66 / $2,852.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.78 / $1,084.55 / $2,609.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.71 / $991.54 / $2,054.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.05 / $634.62 / $3,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00