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New Jersey rates for HCPCS 33987

Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.86 / $5,982.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.45 / $224.86 / $246.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.43 / $309.57 / $651.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.68 / $336.14 / $374.08
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.49 / $210.77 / $443.01
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
$185.28 / $241.81 / $565.27