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Pennsylvania rates for HCPCS 75902

Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.14 / $23.78 / $58.08
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.14 / $33.54 / $59.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.23 / $18.23 / $18.60