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Wisconsin rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.38 / $46.13 / $46.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.72 / $229.16 / $345.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.71 / $345.58 / $1,299.39
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.67 / $67.39 / $108.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.09 / $610.52 / $907.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.54 / $309.29 / $952.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $202.43 / $462.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.45 / $541.59 / $771.18
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$297.00 / $297.00 / $297.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.22 / $1,052.00 / $9,009.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.69 / $1,007.50 / $1,007.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.48 / $315.79 / $922.08