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Minnesota rates for HCPCS 33959

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $275.42 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $954.99 / $3,388.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $489.78 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $776.25 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $660.69 / $977.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,445.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $549.54 / $831.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $478.63 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $457.09 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $467.74 / $912.01