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Virginia 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
$989.84 / $4,771.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,955.00 / $11,210.00 / $17,424.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.17 / $920.60 / $1,135.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.66 / $1,169.81 / $1,736.76
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.77 / $1,122.56 / $3,883.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00