go back

South Dakota 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 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,258.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,071.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26