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New Jersey rates for HCPCS 33964

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition central cannula(e) by sternotomy or thoracotomy, 6 years and older (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,918.31 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $776.25 / $1,778.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $851.14
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,888.44 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $602.56 / $1,348.96