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New Jersey rates for HCPCS 33953

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,918.31 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $537.03 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $724.44 / $1,698.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $676.08 / $812.83
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $524.81 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,888.44 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $1,318.26