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Virginia rates for HCPCS 33030

Pericardiectomy, subtotal or complete; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,255.62 / $5,048.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,955.00 / $11,210.00 / $17,424.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.79 / $2,207.75 / $2,722.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,866.15 / $2,481.17 / $3,812.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.05 / $2,438.90 / $4,781.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00