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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);

Facilitymedian $12,303 · 10th–90th $3,162–$28,1840%5%10%10th90th$12,303Professionalmedian $1,288 · 10th–90th $372–$3,0900%5%10%10th90th$1,288$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$2,754.23 / $6,025.60 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $1,288.25 / $3,019.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $18,197.01 / $33,113.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,348.96 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $851.14 / $3,235.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $2,570.40 / $4,570.88
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $1,737.80 / $1,905.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $13,489.63 / $22,908.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $933.25 / $3,388.44