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  3. /VHS Harper-Hutzel Hospital Inc
  4. /CPT 875T
CPT 875T

Programming of subcutaneously implanted peritoneal ascites pump system by physician or other qualified health care professional at VHS Harper-Hutzel Hospital Inc

Detroit, MI

Pricing by billing methodology

Price type

All methodologies

$11

Aggregated across all available billing methodologies for this code.

Case rate

$11

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$1

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

Not reported

Reflects a negotiated percentage of total billed charges.

Other

Not reported

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: May 20, 2026

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