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Clearing A Sheath Around A Central Catheter

Missouri rates for HCPCS 75901

Removal of the sleeve of clot-like material that can build up around the outside of a long-term intravenous catheter and stop it working. Working under X-ray guidance through a puncture in a separate vein, a snare or similar device strips the sleeve away, and the imaging is supervised and interpreted by a radiologist.

Rates data updated July 2026.

Facilitymedian $51 · 10th–90th $20$690%20%10th90th$51Professionalmedian $219 · 10th–90th $170$3470%20%10th90th$219$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
Setting
Facility
Modifier
26 · Professional part
Typical Low
$19.95
Median
$51.29
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$218.78
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$245.47
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$426.58
Medica
Setting
Facility
Modifier
26 · Professional part
Typical Low
$52.48
Median
$295.12
Typical High
$295.12
Medica
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$223.87
Typical High
$371.54