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Minnesota rates for HCPCS 33951

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.10 / $423.10 / $423.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.10 / $497.84 / $624.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.03 / $1,739.41 / $3,541.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.27 / $972.89 / $1,498.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.54 / $1,321.05 / $3,177.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.62 / $1,231.40 / $1,785.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.28 / $1,207.75 / $2,502.33
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.29 / $1,014.83 / $1,510.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.78 / $773.74 / $3,500.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.90 / $895.83 / $1,762.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.90 / $966.17 / $1,674.73