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North Dakota 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
$368.83 / $1,957.13 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.83 / $1,643.84 / $2,089.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.49 / $915.62 / $3,986.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.80 / $1,059.08 / $5,467.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.83 / $1,957.13 / $3,327.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.74 / $3,564.98 / $5,141.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.04 / $3,564.98 / $5,141.68