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Alabama 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
$1,096.48 / $1,659.59 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $1,445.44 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $5,888.44 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $1,258.93 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $549.54 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,248.07 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $1,318.26 / $2,344.23