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New Mexico 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
$516.40 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $475.71 / $860.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.08 / $730.95 / $921.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $735.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.40 / $692.92 / $921.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,085.00 / $4,262.00 / $17,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.16 / $791.45 / $1,111.32