go back

Idaho rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.15 / $57.15 / $57.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.91 / $336.30 / $477.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.64 / $337.34 / $439.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.46 / $409.32 / $479.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $39.79 / $382.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.69 / $467.17 / $535.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.75 / $221.95 / $398.85