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Oklahoma 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
$1,456.00 / $5,719.00 / $17,551.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.65 / $2,553.48 / $2,915.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,044.19 / $3,224.30 / $5,131.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.80 / $2,290.05 / $3,144.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.07 / $676.00 / $3,016.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.65 / $3,605.25 / $19,664.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,087.82 / $3,032.84 / $16,456.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,228.00 / $10,642.00 / $20,190.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,984.93 / $2,696.40 / $3,977.30