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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
$281.84 / $281.84 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $446.68 / $758.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $630.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $489.78 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26