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Massachusetts 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
$1,661.33 / $3,111.85 / $8,331.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.87 / $1,362.90 / $3,417.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $5,071.00 / $22,645.14
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.86 / $3,325.44 / $8,625.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.93 / $633.01 / $1,241.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.40 / $2,281.77 / $7,335.34
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.83 / $887.88 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,697.36 / $3,177.01 / $5,680.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.42 / $2,643.15 / $6,583.03
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,006.91 / $12,006.91 / $12,006.91
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,003.00 / $17,462.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,125.12 / $5,375.21 / $15,435.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,485.00 / $6,474.00 / $13,737.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,930.31 / $3,813.16 / $8,625.54