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Illinois rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.86 / $39.93 / $67.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.72 / $199.53 / $297.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.22 / $100.90 / $486.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.87 / $299.35 / $414.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.48 / $310.44 / $697.15
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.60 / $33.83 / $96.08
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.20 / $267.58 / $288.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.67 / $32.34 / $301.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.09 / $249.00 / $407.92