go back

South Dakota rates for HCPCS 33969

Ecmo/Ecls Rmvl Of Perph Cannula Open Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.27 / $272.27 / $272.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.03 / $272.27 / $272.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.36 / $557.05 / $696.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.57 / $424.24 / $767.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.20 / $523.67 / $1,914.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.08 / $635.25 / $831.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.28 / $613.49 / $790.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.11 / $450.52 / $513.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.20 / $465.80 / $724.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.79 / $623.29 / $648.20