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South Dakota 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
$833.49 / $833.49 / $833.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.31 / $1,303.55 / $2,213.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,604.39 / $1,953.10 / $2,548.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.44 / $1,387.86 / $1,582.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00