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North Dakota 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
$263.03 / $269.15 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $269.15 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $575.44 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $446.68 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $354.81 / $794.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $478.63 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $489.78 / $660.69