go back

New York 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
$579.36 / $4,043.00 / $10,296.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.62 / $652.70 / $1,131.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,123.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.21 / $533.62 / $1,206.93
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.23 / $686.23 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.23 / $686.23 / $686.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.54 / $552.54 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.94 / $840.06 / $1,776.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $668.00 / $2,814.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.72 / $679.63 / $979.80
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.63 / $512.74 / $822.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.54 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.98 / $827.73 / $1,746.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.00 / $4,114.00 / $8,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.84 / $641.44 / $1,531.52
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.22 / $603.22 / $1,039.08
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.93 / $603.22 / $1,000.09