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Illinois 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
$851.14 / $3,981.07 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $1,479.11 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $14,791.08 / $19,952.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $2,187.76 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,071.52 / $3,890.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $3,019.95 / $6,025.60
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $549.54 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $9,772.37 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $2,089.30 / $4,365.16