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Minnesota rates for HCPCS 33963

Ecmo/Ecls Repos Central Perph Cannula Birth-5yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.36 / $466.36 / $466.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.36 / $548.78 / $688.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.15 / $1,920.27 / $3,913.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.98 / $1,074.06 / $1,654.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.72 / $1,456.02 / $3,502.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.43 / $1,356.42 / $1,967.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.65 / $1,331.15 / $2,757.99
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.49 / $1,117.86 / $1,664.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.80 / $852.80 / $3,500.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.11 / $988.03 / $1,944.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.66 / $975.96 / $1,868.76