go back

New Mexico rates for HCPCS 33959

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.19 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.48 / $243.29 / $506.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.00 / $275.00 / $300.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.00 / $371.63 / $467.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $363.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.91 / $344.03 / $467.97
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
$322.52 / $388.49 / $549.99