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New Jersey 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
$455.68 / $5,982.00 / $12,384.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.93 / $861.24 / $2,636.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.49 / $1,224.58 / $5,525.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.82 / $3,493.33 / $4,021.06
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,984.54 / $27,571.20 / $59,787.85
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.39 / $2,235.12 / $3,777.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,066.00 / $12,315.00 / $27,214.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.54 / $2,785.21 / $7,352.45