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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
$4,365.16 / $6,918.31 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $660.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $269.15 / $323.59
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $204.17 / $512.86
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
$162.18 / $223.87 / $512.86