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New York 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
$320.30 / $4,043.00 / $10,296.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.88 / $360.35 / $659.80
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
$225.75 / $295.10 / $690.38
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.82 / $379.82 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.82 / $379.82 / $379.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.18 / $305.18 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.45 / $476.60 / $984.01
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.14 / $376.00 / $1,553.32
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.29 / $375.05 / $540.69
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.23 / $293.06 / $454.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.18 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.48 / $465.68 / $983.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.20 / $363.19 / $815.96
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.34 / $333.34 / $589.84
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.06 / $333.34 / $552.64