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Tennessee 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
$1,590.16 / $2,678.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,302.00 / $4,372.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,729.60 / $14,999.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00