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Washington, DC 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
$1,017.00 / $7,287.00 / $9,719.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.36 / $536.36 / $3,081.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.06 / $517.95 / $15,765.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.59 / $1,097.38 / $3,688.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.80 / $5,307.56 / $5,307.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,840.00 / $10,006.00 / $47,612.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,380.76 / $3,995.08 / $7,155.90