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Texas 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 $4,467 · 10th–90th $1,000–$14,1250%10%10th90th$4,467Professionalmedian $1,479 · 10th–90th $363–$2,5700%20%10th90th$1,479$50.0$200.0$1.0K$5.0K$20.0K$100.0K$500.0K

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
$1,023.29 / $3,715.35 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $1,479.11 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $8,128.31 / $16,218.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $1,513.56 / $2,511.89
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $4,677.35 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $758.58 / $2,884.03
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $20,417.38
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $14,454.40 / $14,454.40
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $2,137.96 / $6,918.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $1,862.09 / $3,311.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,412.54
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $1,230.27 / $6,309.57
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $1,513.56 / $3,548.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $831.76 / $3,019.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $6,918.31 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $1,288.25 / $2,754.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,737.80