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Iowa 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

Facilitymedian $20 · 10th–90th $20–$1380%50%90th$20Professionalmedian $224 · 10th–90th $141–$5620%10%20%10th90th$224$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.95 / $19.95 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $218.78 / $562.34
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $537.03 / $676.08
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $269.15 / $616.60
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.39 / $37.15 / $64.57
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$75.86 / $295.12 / $295.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $309.03 / $588.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $436.52 / $588.84
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $54.95 / $89.13
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $234.42 / $467.74
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $380.19 / $446.68