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North Dakota rates for HCPCS 33953

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.42 / $457.42 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.42 / $472.06 / $648.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.13 / $964.69 / $1,139.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.46 / $811.65 / $1,310.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.42 / $602.69 / $1,372.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.66 / $900.51 / $1,170.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.53 / $900.51 / $1,170.83