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Pennsylvania rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.39 / $24.64 / $71.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.30 / $208.47 / $259.27
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.96 / $238.57 / $361.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.97 / $235.34 / $401.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.18 / $313.18 / $348.68
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.39 / $40.99 / $73.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.30 / $214.85 / $725.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.80 / $406.00 / $663.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.46 / $241.03 / $401.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.26 / $22.26 / $23.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.19 / $220.48 / $241.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.99 / $219.75 / $385.83