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Michigan rates for HCPCS 33030

Pericardiectomy, subtotal or complete; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,897.79 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,862.09 / $1,862.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,897.79 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $6,025.60