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Idaho 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
$1,610.21 / $4,805.00 / $8,491.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.93 / $2,104.09 / $7,135.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.63 / $849.56 / $4,148.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.34 / $1,934.96 / $7,563.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.17 / $3,444.08 / $4,174.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $3,331.74 / $3,712.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,831.58 / $27,841.54 / $35,402.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.58 / $874.62 / $4,455.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,000.00 / $17,585.00 / $18,758.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,311.19 / $3,209.96 / $4,876.51