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New Jersey 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 $8,511 · 10th–90th $4,365–$13,4900%10%10th90th$8,511Professionalmedian $1,622 · 10th–90th $331–$3,6310%5%10%10th90th$1,622$500.0$1.0K$2.0K$5.0K$10.0K$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
$4,365.16 / $8,511.38 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $1,513.56 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $1,000.00 / $4,265.80
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $2,691.53 / $3,311.31
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $19,054.61 / $28,840.32
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $1,778.28 / $3,981.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $9,772.37 / $18,620.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $1,621.81 / $3,630.78