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Minnesota 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
$381.17 / $2,073.96 / $6,781.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.93 / $1,643.84 / $2,799.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,748.94 / $11,652.60 / $23,114.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.03 / $2,190.03 / $5,937.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,502.95 / $6,389.03 / $15,369.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.57 / $2,349.46 / $7,456.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,547.46 / $5,841.11 / $12,102.11
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.41 / $2,349.46 / $6,478.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.04 / $3,239.75 / $12,051.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,354.26 / $4,655.08 / $8,302.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,577.00 / $10,743.00 / $12,774.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,173.50 / $3,874.76 / $7,927.83