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Arkansas 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
$795.24 / $2,477.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.36 / $1,918.31 / $3,093.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,796.13 / $10,796.13 / $12,955.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.32 / $640.16 / $2,902.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,781.00 / $8,781.00 / $8,781.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.45 / $862.12 / $4,066.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,896.00 / $5,749.00 / $12,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,984.93 / $2,765.27 / $4,476.77