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Massachusetts rates for HCPCS 75901

Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.14 / $17.14 / $64.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.68 / $140.72 / $198.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.56 / $52.63 / $297.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.86 / $313.51 / $9,009.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.47 / $513.01 / $801.74
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $280.32 / $411.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.79 / $517.48 / $686.61
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.63 / $52.63 / $297.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.91 / $313.51 / $9,009.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.62 / $272.42 / $554.71