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New Jersey rates for HCPCS 33965

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.37 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.25 / $202.32 / $218.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.95 / $286.93 / $614.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.73 / $299.77 / $333.62
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.09 / $187.48 / $357.29
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
$164.42 / $215.06 / $538.92