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North Carolina 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 $2,692 · 10th–90th $537–$12,5890%5%10%10th90th$2,692Professionalmedian $1,380 · 10th–90th $355–$3,0900%5%10%10th90th$1,380$100.0$500.0$2.0K$10.0K

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
$537.03 / $2,691.53 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $1,288.25 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $1,380.38 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $1,148.15 / $3,715.35
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $1,548.82 / $3,090.30
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $562.34 / $2,754.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $14,454.40 / $23,442.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $1,584.89 / $3,467.37
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $20,417.38 / $20,417.38
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $14,454.40 / $14,454.40