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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
$234.42 / $234.42 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $371.54 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $537.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26