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Wisconsin 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
$27.13 / $37.46 / $37.46
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.96 / $53.70 / $86.62
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$297.00 / $297.00 / $297.00