go back

Connecticut 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
$4,570.88 / $8,511.38 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,659.59 / $3,801.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $19,498.45 / $31,622.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $2,344.23 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,548.82 / $5,370.32
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $12,589.25 / $21,877.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $2,238.72 / $6,165.95