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Oregon 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 $3,388 · 10th–90th $724–$15,8490%10%10th90th$3,388Professionalmedian $1,660 · 10th–90th $380–$4,4670%5%10th90th$1,660$100.0$500.0$2.0K$10.0K$50.0K

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
$724.44 / $4,073.80 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $1,819.70 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $1,174.90 / $4,897.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $912.01 / $4,365.16
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $2,454.71 / $6,165.95
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $1,819.70 / $4,897.79
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,388.44 / $3,630.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,737.80 / $4,365.16
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $977.24 / $4,897.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $19,498.45 / $23,988.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,230.27 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $20,892.96 / $26,302.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,584.89 / $4,786.30