go back

Missouri rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.76 / $37.72 / $52.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.41 / $217.92 / $263.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.40 / $219.82 / $347.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.13 / $232.53 / $422.85
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.63 / $297.00 / $297.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.92 / $243.21 / $9,009.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.53 / $221.95 / $381.81