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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

Facilitymedian $48 · 10th–90th $21–$720%10%10th90th$48$20.0$50.0$100.0

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
$21.38 / $47.86 / $72.44
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.20 / $37.15 / $64.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.20 / $18.62 / $18.62