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North Dakota 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
$446.68 / $2,454.71 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $1,659.59 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,122.02 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,288.25 / $6,025.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,318.26 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $4,265.80 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $2,089.30 / $5,623.41