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Minnesota rates for HCPCS 33984

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, 6 years and older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.01 / $283.01 / $283.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.48 / $1,172.78 / $2,360.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.96 / $886.27 / $2,132.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.05 / $810.26 / $1,678.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.37 / $518.75 / $3,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00