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South Dakota 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.18 / $540.48 / $907.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.72 / $808.19 / $1,047.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.17 / $572.51 / $652.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00