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New Jersey rates for HCPCS 33963

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.37 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.68 / $513.52 / $552.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.88 / $727.74 / $1,700.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.66 / $756.95 / $842.40
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.34 / $466.04 / $996.10
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
$411.88 / $571.69 / $1,364.42