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New Jersey rates for HCPCS 33951

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.46 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.54 / $455.84 / $501.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.28 / $638.57 / $1,367.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.39 / $687.81 / $765.45
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.59 / $422.77 / $777.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.00 / $7,273.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.62 / $500.29 / $1,237.75