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New York rates for HCPCS 33984

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, 6 years and older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.05 / $4,910.00 / $11,396.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,123.00 / $9,074.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.40 / $395.40 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.48 / $319.48 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.00 / $370.00 / $741.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.48 / $597.00 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.00 / $4,194.00 / $9,300.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.46 / $348.46 / $578.97