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Delaware rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.62 / $28.90 / $28.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.47 / $208.47 / $235.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.31 / $185.23 / $301.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.25 / $190.00 / $489.60