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Utah rates for HCPCS 36903

Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report; with transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the stenting, and all angioplasty within the peripheral dialysis segment

Facilitymedian $6,761 · 10th–90th $3,162–$13,4900%10%10th90th$6,761Professionalmedian $4,898 · 10th–90th $324–$9,7720%10%10th90th$4,898$50.0$200.0$1.0K$5.0K$20.0K

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
Typical Low / Median / Typical High
$3,162.28 / $6,025.60 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $4,570.88 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $524.81 / $8,128.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $741.31 / $25,118.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $22,387.21 / $33,884.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $912.01 / $15,848.93
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $4,073.80 / $10,471.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $5,370.32 / $20,417.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $5,128.61 / $24,547.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $4,168.69 / $8,912.51