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Minnesota rates for HCPCS 33954

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,949.84 / $6,918.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,584.89 / $3,715.35
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,513.56 / $2,951.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $977.24 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38