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Washington, DC rates for HCPCS 75901

Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.97 / $93.67 / $180.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.33 / $226.33 / $226.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.04 / $248.04 / $410.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.22 / $195.36 / $1,186.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.52 / $545.52 / $545.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.70 / $48.70 / $48.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.72 / $268.06 / $691.24