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Iowa rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.76 / $71.16 / $131.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.91 / $199.53 / $214.85
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.89 / $76.11 / $78.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.06 / $525.91 / $657.41
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.94 / $268.14 / $382.82
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.71 / $33.83 / $64.50
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.11 / $297.00 / $297.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $331.41 / $634.75
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.11 / $78.31 / $123.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.63 / $439.06 / $588.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.46 / $263.14 / $433.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.36 / $380.20 / $447.40