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Nevada 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
$1,862.00 / $3,459.00 / $7,674.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.08 / $1,643.84 / $2,444.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,886.00 / $7,046.00 / $13,100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.94 / $1,709.36 / $3,030.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,699.17 / $3,699.17 / $3,699.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.18 / $1,500.10 / $2,823.20
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.00 / $1,573.35 / $3,781.43
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,781.43 / $6,301.21 / $6,301.21
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.38 / $471.57 / $2,606.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.00 / $5,468.00 / $11,845.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.22 / $2,376.55 / $3,339.68