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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
$426.58 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,698.24 / $6,165.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,202.26 / $1,778.28
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $2,630.27
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $870.96 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $831.76 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $851.14 / $1,659.59