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North Dakota 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
$410.06 / $410.06 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.06 / $410.06 / $423.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.13 / $863.66 / $1,020.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.40 / $727.35 / $1,174.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.06 / $539.92 / $1,230.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.02 / $806.10 / $1,049.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.29 / $858.58 / $1,049.38