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Utah rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.11 / $27.11 / $27.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.19 / $180.19 / $477.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.28 / $322.64 / $385.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.08 / $171.56 / $235.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.77 / $341.76 / $375.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.84 / $221.95 / $358.02