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North Dakota rates for HCPCS 33958

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.76 / $178.76 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.76 / $184.37 / $254.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.64 / $376.05 / $444.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.14 / $317.60 / $512.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.76 / $233.81 / $536.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.62 / $340.98 / $457.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.75 / $340.98 / $457.66