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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
$3,728.46 / $9,326.00 / $18,482.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.26 / $1,867.57 / $3,728.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,905.00 / $17,206.00 / $25,995.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.79 / $2,016.64 / $5,285.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.38 / $1,496.59 / $5,429.30
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,087.68 / $3,087.68 / $3,613.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,706.00 / $11,710.00 / $21,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.19 / $3,963.52 / $7,810.56