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South Dakota rates for HCPCS 33966

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.71 / $237.71 / $237.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.85 / $371.97 / $623.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.31 / $556.21 / $721.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.83 / $394.34 / $449.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00