go back

Washington rates for HCPCS 33020

Pericardiotomy Removal Clot/Foreign Body Primary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.50 / $2,254.16 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,104.41 / $14,999.04
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.84 / $1,808.96 / $2,217.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,251.46 / $1,562.62 / $1,707.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.41 / $1,104.41 / $1,113.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $3,323.00 / $36,803.00