go back

Wyoming rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.20 / $21.20 / $21.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.18 / $225.77 / $248.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.00 / $592.00 / $974.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.28 / $228.53 / $403.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.91 / $381.30 / $665.85