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Minnesota rates for HCPCS 33956

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,388.44 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,754.23 / $6,606.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,630.27 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,698.24 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38