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Alaska rates for HCPCS 36905

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); with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.00 / $12,358.95 / $20,143.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.51 / $2,319.73 / $11,597.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.98 / $1,561.98 / $7,197.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.87 / $3,555.43 / $16,235.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.67 / $3,634.67 / $13,584.34
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.45 / $2,878.93 / $13,227.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.87 / $3,555.43 / $16,235.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.75 / $3,013.03 / $14,875.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,446.32 / $6,910.00 / $12,526.54