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South Dakota 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 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $676.08 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $954.99
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $741.31 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26