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Indiana 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 $16,218 · 10th–90th $1,585–$30,9030%10%10th90th$16,218Professionalmedian $1,349 · 10th–90th $372–$2,5120%10%10th90th$1,349$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
$416.87 / $3,467.37 / $16,218.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $1,380.38 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $25,118.86 / $33,113.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $1,202.26 / $2,344.23
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $371.54 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $501.19 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $1,380.38 / $2,630.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $11,220.18 / $17,782.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $1,412.54 / $3,388.44