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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
$4,365.16 / $6,918.31 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $316.23 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $426.58 / $977.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $478.63
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $302.00 / $758.58
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
$239.88 / $331.13 / $758.58