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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
$263.72 / $263.72 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.72 / $272.27 / $373.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.62 / $556.36 / $657.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.65 / $467.25 / $754.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.72 / $356.94 / $791.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.07 / $504.27 / $675.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.26 / $504.27 / $675.08