go back

Louisiana rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.52 / $29.27 / $38.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.01 / $243.43 / $356.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.67 / $272.86 / $323.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.57 / $202.81 / $355.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.09 / $210.85 / $329.68