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North Dakota rates for HCPCS 33964

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.21 / $477.21 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.21 / $477.21 / $492.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.16 / $1,006.78 / $1,189.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.69 / $845.63 / $1,365.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.21 / $627.69 / $1,431.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.60 / $908.79 / $1,221.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.00 / $1,978.00 / $1,978.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.45 / $967.96 / $1,120.57