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Michigan rates for HCPCS 33020

Pericardiotomy for removal of clot or foreign body (primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.27 / $4,933.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,176.14 / $4,867.45 / $6,594.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.75 / $4,933.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,740.00