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New York rates for HCPCS 33952

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.91 / $4,648.00 / $10,686.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,123.00 / $9,074.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.85 / $595.85 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.59 / $480.59 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $557.00 / $1,105.63
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.59 / $597.00 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.91 / $525.91 / $870.17