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Florida 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
$1,056.00 / $6,821.00 / $22,052.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.36 / $1,661.33 / $2,920.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.61 / $448.61 / $448.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $6,470.10 / $7,702.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.42 / $1,087.76 / $3,565.41
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,855.00 / $12,685.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.72 / $1,500.77 / $3,026.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.62 / $2,275.85 / $3,000.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,368.00 / $13,807.00 / $27,397.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.10 / $2,824.80 / $4,796.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.65 / $1,647.61 / $1,647.61