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Minnesota rates for HCPCS 33985

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.53 / $512.53 / $512.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.53 / $603.11 / $756.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.56 / $2,108.21 / $4,296.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.88 / $1,179.17 / $1,816.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,127.79 / $1,599.35 / $3,847.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.69 / $1,490.29 / $2,161.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.81 / $1,462.19 / $3,029.49
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.23 / $1,228.19 / $1,828.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.80 / $936.48 / $3,500.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.71 / $1,085.31 / $2,135.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.54 / $1,071.94 / $2,052.71