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New Mexico 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)

Facilitymedian $1,000 · 10th–90th $692–$7,7620%10%20%10th90th$1,000Professionalmedian $550 · 10th–90th $447–$1,0960%20%40%10th90th$550$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $724.44 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $549.54 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $691.83 / $891.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $676.08
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $776.25 / $1,778.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $691.83 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,570.88 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $741.31 / $1,000.00