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Minnesota rates for HCPCS 33969

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $323.59 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,096.48 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $891.25 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $758.58 / $1,148.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $851.14 / $1,698.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $645.65 / $977.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $562.34 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $524.81 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $549.54 / $1,071.52