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Minnesota 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
$460.59 / $2,615.94 / $7,397.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.93 / $2,104.09 / $3,156.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,193.12 / $19,620.75 / $40,671.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.19 / $2,742.53 / $7,466.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,673.93 / $8,050.49 / $19,366.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.29 / $3,234.42 / $9,353.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,469.97 / $7,360.08 / $15,249.25
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.19 / $3,026.87 / $8,126.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.18 / $4,205.35 / $21,528.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,992.80 / $5,852.45 / $10,438.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,028.00 / $11,496.00 / $21,528.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,729.28 / $4,865.55 / $9,967.01