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Connecticut 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
$2,913.18 / $8,031.00 / $18,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.99 / $1,154.94 / $4,070.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,098.00 / $12,905.00 / $17,206.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.57 / $1,603.43 / $4,130.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.90 / $1,242.73 / $4,243.57
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,412.19 / $2,412.19 / $2,885.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,943.00 / $10,797.00 / $18,470.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.28 / $3,046.05 / $6,216.97