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Rhode Island 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
$3,706.14 / $3,955.04 / $5,496.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.87 / $694.01 / $2,840.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.59 / $966.36 / $3,733.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.93 / $1,225.22 / $5,487.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,074.00 / $7,819.00 / $19,195.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,490.56 / $3,457.05 / $5,413.60