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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

Facilitymedian $39 · 10th–90th $17–$870%20%10th90th$39Professionalmedian $275 · 10th–90th $141–$6030%10%10th90th$275$20.0$100.0$500.0$2.0K$10.0K

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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$16.98 / $38.90 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $223.87 / $562.34
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$24.55 / $54.95 / $295.12
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $275.42 / $8,912.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $389.05 / $776.25
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $281.84 / $380.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $302.00 / $616.60
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$24.55 / $54.95 / $295.12
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $275.42 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $275.42 / $645.65