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Mississippi 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
$750.00 / $1,831.00 / $4,780.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.51 / $1,984.06 / $3,850.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,437.82 / $5,437.82 / $5,437.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,826.00 / $2,826.00 / $5,228.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,715.17 / $6,715.17 / $6,715.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.56 / $1,608.38 / $4,418.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.00 / $8,599.69 / $15,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,156.73 / $3,188.01 / $5,917.55