go back

Maine 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
Professional
Modifier
Low / Median / High Price
$170.79 / $170.91 / $381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.43 / $253.18 / $351.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.07 / $332.62 / $537.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.52 / $317.63 / $487.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.30 / $170.91 / $248.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.65 / $239.82 / $467.08