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Arizona 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

Facilitymedian $5,623 · 10th–90th $2,042–$11,7490%5%10%10th90th$5,623Professionalmedian $1,905 · 10th–90th $437–$3,7150%10%10th90th$1,905$100.0$500.0$2.0K$10.0K

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
$2,089.30 / $5,370.32 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $1,819.70 / $3,548.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $7,585.78 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $2,137.96 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $12,022.64
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,230.27 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $2,884.03 / $14,454.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,754.23 / $8,317.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $10,471.29 / $17,378.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $1,862.09 / $3,388.44