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Kansas 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
$2,913.00 / $6,560.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.68 / $1,684.72 / $3,047.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.54 / $514.54 / $2,569.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.78 / $1,657.68 / $3,410.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,265.60 / $8,038.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.10 / $2,865.81 / $13,077.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,269.00 / $5,875.00 / $10,716.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.75 / $2,223.02 / $3,356.02