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Colorado 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
$2,754.23 / $6,025.60 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $1,819.70 / $3,019.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $18,197.01 / $33,113.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $1,412.54 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $851.14 / $3,388.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $2,570.40 / $4,570.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $1,737.80 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $14,125.38 / $23,988.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,698.24 / $3,715.35