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Minnesota rates for HCPCS 33986

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, 6 years and older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.11 / $523.11 / $523.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.85 / $2,164.73 / $4,333.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.74 / $1,637.57 / $3,939.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.72 / $1,497.13 / $3,101.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.86 / $962.10 / $3,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.00 / $3,500.00 / $8,152.00