| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $801.59 | $801.59 | $8,500.00 | |
Medica
| Facility | $801.59 | $1,115.59 | $2,404.77 |
Pericardiotomy for removal of clot or foreign body (primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $801.59 | $801.59 | $8,500.00 | |
Medica
| Facility | $801.59 | $1,115.59 | $2,404.77 |