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Wisconsin rates for HCPCS 33017

Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; 6 years and older without congenital cardiac anomaly

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $467.74 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,677.35 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $691.83 / $1,096.48
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $3,235.94 / $5,888.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $3,388.44 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $537.03 / $741.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45