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Nationwide rates for HCPCS 36904

Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,897.79 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $1,445.44 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $7,079.46 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $1,621.81 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $4,677.35 / $13,489.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $1,412.54 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $8,511.38 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $1,513.56 / $3,548.13