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Rhode Island rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$142.94 / $142.94 / $142.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.72 / $152.30 / $219.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.28 / $279.13 / $353.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.79 / $361.71 / $805.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.21 / $263.20 / $371.65