go back

Texas rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.53 / $19.03 / $28.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.13 / $189.61 / $266.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $171.07 / $226.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.56 / $192.84 / $325.36
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.63 / $107.30 / $297.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,009.00 / $9,009.00 / $9,009.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.43 / $323.14 / $378.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.63 / $199.97 / $427.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.24 / $173.39 / $262.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.86 / $204.43 / $292.67