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New Jersey rates for HCPCS 33985

Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.15 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.60 / $563.86 / $606.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.39 / $798.26 / $1,816.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.03 / $830.63 / $924.39
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.05 / $527.11 / $1,034.66
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
$453.03 / $734.60 / $1,498.22