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Wisconsin rates for HCPCS 75901

Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation

Facilitymedian $46 · 10th–90th $33$1070%20%10th90th$46Professionalmedian $309 · 10th–90th $178$8510%10%10th90th$309$50.0$200.0$1.0K$5.0K

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
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $33.11 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $245.47 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $269.15 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$57.54 / $67.61 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $812.83 / $933.25
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $512.86 / $616.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $309.03 / $954.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $446.68
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $416.87 / $707.95
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $537.03 / $794.33
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $295.12 / $295.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $1,047.13 / $8,912.51
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $1,000.00 / $1,698.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $309.03 / $794.33