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South Dakota 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.68 / $442.44 / $752.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.74 / $663.11 / $866.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.78 / $472.64 / $538.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00