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Wisconsin rates for HCPCS 33030

Pericardiectomy, subtotal or complete; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,801.89 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $13,803.84 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,623.41 / $8,912.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,548.13 / $9,549.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,786.30 / $7,943.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $35,481.34 / $35,481.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45