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South Dakota rates for HCPCS 33962

Ecmo/Ecls Repos Perph Cannula Open 6 Yrs & Older

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 / $233.46 / $233.46
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 / $619.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.24 / $450.40 / $1,647.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.12 / $546.62 / $714.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.32 / $524.91 / $679.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.08 / $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
$270.24 / $441.09 / $621.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.10 / $537.70 / $559.20