go back

New Jersey rates for HCPCS 33958

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition 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
$206.66 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.82 / $200.05 / $244.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.74 / $281.37 / $592.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.73 / $299.77 / $333.62
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.09 / $187.48 / $394.04
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
$164.42 / $217.28 / $538.92