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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
$475.53 / $475.53 / $475.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.84 / $1,966.91 / $3,970.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.30 / $1,489.46 / $3,583.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.82 / $1,361.72 / $2,821.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.45 / $873.31 / $3,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00