go back

South Dakota rates for HCPCS 33951

Ecmo/Ecls Insj Of Prph Cannula Birth-5 Yrs Perq

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
$389.87 / $423.10 / $423.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.80 / $867.14 / $1,083.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.37 / $658.88 / $1,160.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.95 / $846.58 / $2,974.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.15 / $986.84 / $1,294.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.16 / $952.05 / $1,229.33
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.39 / $703.01 / $801.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.95 / $819.54 / $1,126.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.70 / $972.60 / $1,011.50