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Delaware 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
$6,907.00 / $7,265.00 / $15,648.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.51 / $536.36 / $2,347.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.47 / $623.25 / $3,183.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,959.69 / $11,959.69 / $11,959.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,346.26 / $2,781.33 / $6,154.32