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New Jersey rates for HCPCS 33969

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.66 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.38 / $298.88 / $360.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.35 / $419.16 / $904.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.27 / $440.54 / $490.26
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.36 / $276.44 / $549.69
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
$242.65 / $325.76 / $795.87