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North Dakota rates for HCPCS 33962

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $234.42 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $234.42 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $389.05 / $645.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $309.03 / $676.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $416.87 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $426.58 / $562.34