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Vermont rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.87 / $175.87 / $188.01
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$142.19 / $142.19 / $142.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.82 / $325.44 / $988.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.82 / $325.44 / $988.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.68 / $267.38 / $1,051.20