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Alabama 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
$781.00 / $1,768.00 / $2,729.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.68 / $1,729.54 / $3,850.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,846.96 / $9,522.66 / $12,811.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.47 / $1,612.80 / $2,534.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.16 / $680.37 / $3,274.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $6,323.00 / $12,422.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.21 / $2,332.25 / $3,759.62