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Kentucky 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 $3,631 · 10th–90th $1,660–$8,5110%10%10th90th$3,631Professionalmedian $1,288 · 10th–90th $339–$2,7540%5%10th90th$1,288$50.0$200.0$1.0K$5.0K$20.0K

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
$489.78 / $3,630.78 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $1,288.25 / $2,754.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,801.89 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $1,348.96 / $1,905.46
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $457.09 / $537.03
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $467.74 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $616.60 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $2,137.96 / $7,943.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $7,413.10 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $1,288.25 / $3,235.94