| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,936.66 | $1,936.66 | $8,500.00 | |
Medica
| Facility | $1,936.66 | $1,969.65 | $5,809.98 |
Pericardiectomy, subtotal or complete; without cardiopulmonary bypass
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,936.66 | $1,936.66 | $8,500.00 | |
Medica
| Facility | $1,936.66 | $1,969.65 | $5,809.98 |