go back

Washington 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 $4,571 · 10th–90th $661–$20,8930%10%10th90th$4,571Professionalmedian $1,380 · 10th–90th $380–$4,1690%10%10th90th$1,380$20.0$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
$660.69 / $4,677.35 / $19,952.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $1,288.25 / $3,467.37
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $15,135.61 / $30,902.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $1,096.48 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,122.02 / $5,248.07
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $3,162.28 / $23,442.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $2,187.76 / $5,248.07
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,388.44 / $3,630.78
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,511.89 / $2,511.89
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $2,454.71 / $4,265.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $15,848.93 / $30,902.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $1,096.48 / $4,168.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $18,197.01 / $32,359.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,737.80 / $3,981.07
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $630.96 / $3,981.07