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New Hampshire 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

Facilitymedian $5,495 · 10th–90th $2,399–$22,3870%20%10th90th$5,495Professionalmedian $1,349 · 10th–90th $468–$4,5710%5%10th90th$1,349$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,370.32 / $22,387.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,348.96 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $5,495.41 / $8,511.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $1,174.90 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,288.25 / $6,456.54
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $12,589.25 / $12,589.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $2,398.83 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $12,589.25 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $2,454.71 / $8,317.64