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Oregon 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
$1,051.75 / $8,491.18 / $20,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.51 / $2,104.09 / $4,378.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.01 / $2,134.57 / $6,186.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.07 / $1,190.17 / $5,389.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.90 / $2,048.19 / $6,219.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.17 / $3,444.08 / $6,846.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.80 / $4,242.47 / $4,816.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.90 / $3,537.73 / $6,219.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.60 / $2,892.46 / $6,694.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,928.04 / $36,273.58 / $43,569.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.15 / $1,486.34 / $6,502.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $26,100.00 / $51,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,575.00 / $4,622.39 / $7,233.61