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Indiana rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.71 / $20.71 / $34.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.30 / $206.24 / $259.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.71 / $333.91 / $500.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.78 / $205.01 / $267.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.53 / $195.29 / $440.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.15 / $202.69 / $331.82