go back

New Mexico rates for HCPCS 33956

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,258.93 / $7,762.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,445.44 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $5,128.61 / $19,498.45