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Clearing A Sheath Around A Central Catheter

Utah 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 $27 · 10th–90th $27$270%50%$27Professionalmedian $240 · 10th–90th $37$4790%10%20%10th90th$240$20.0$50.0$100.0$200.0$500.0$1.0K

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
$26.92
Median
$26.92
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$239.88
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$389.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$70.79
Typical High
$446.68
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$338.84
Typical High
$371.54
Select Health
Setting
Facility
Modifier
26 · Professional part
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Select Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$295.12
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$218.78
Typical High
$407.38