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West Virginia rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.61 / $22.61 / $22.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.91 / $208.47 / $226.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.26 / $25.26 / $25.26
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.57 / $25.57 / $25.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.35 / $264.11 / $1,038.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.95 / $174.10 / $334.70