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Clearing A Sheath Around A Central Catheter

Kentucky rates for HCPCS 75901

Removal of the sleeve of clot-like material that can build up around the outside of a long-term intravenous catheter and stop it working. Working under X-ray guidance through a puncture in a separate vein, a snare or similar device strips the sleeve away, and the imaging is supervised and interpreted by a radiologist.

Rates data updated July 2026.

Facilitymedian $22 · 10th–90th $6$380%20%10th90th$22Professionalmedian $195 · 10th–90th $123$5620%10%20%10th90th$195$5.0$20.0$100.0$500.0

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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$19.95
Median
$21.88
Typical High
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$870.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$28.84
Typical High
$33.88
Cigna
Setting
Facility
Modifier
26 · Professional part
Typical Low
$5.75
Median
$26.30
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$316.23
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$302.00