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Minnesota rates for HCPCS 33989

Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $575.44 / $831.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,995.26 / $6,918.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,621.81 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,380.38 / $2,089.30
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,548.82 / $3,019.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,174.90 / $1,737.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,000.00 / $3,981.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $954.99 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,467.37 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,000.00 / $1,905.46