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West 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
$851.14 / $851.14 / $1,412.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,412.54 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58