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Minnesota rates for HCPCS 33952

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,737.80 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,412.54 / $3,388.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,348.96 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $870.96 / $5,128.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38