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South Dakota rates for HCPCS 33959

Ecmo/Ecls Repos Perph Cannula Open Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.46 / $233.46 / $233.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.04 / $243.28 / $338.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.62 / $479.93 / $599.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.71 / $365.11 / $659.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.39 / $467.34 / $1,647.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.31 / $546.62 / $714.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.92 / $526.03 / $679.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.81 / $388.67 / $443.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.66 / $399.62 / $621.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.10 / $537.70 / $559.20