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Texas rates for HCPCS 33030

Pericardiectomy, subtotal or complete; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $3,596.00 / $10,836.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,837.57 / $1,837.57 / $1,837.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $35,324.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.06 / $2,210.52 / $4,411.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,467.06 / $2,222.50 / $4,524.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00