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Wisconsin 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
$977.24 / $1,621.81 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $13,803.84 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,344.23 / $3,715.35
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,818.38 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,995.26 / $3,311.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $14,791.08 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45