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North Dakota 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
$226.28 / $226.28 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.55 / $233.46 / $338.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.71 / $479.19 / $566.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.70 / $402.56 / $649.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.28 / $307.02 / $678.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.82 / $445.03 / $579.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.70 / $433.74 / $531.04