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South Carolina 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 $9,120 · 10th–90th $603–$23,4420%10%10th90th$9,120Professionalmedian $1,230 · 10th–90th $447–$3,8900%10%20%10th90th$1,230$50.0$200.0$1.0K$5.0K$20.0K$100.0K$500.0K

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
$3,090.30 / $12,022.64 / $23,442.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,230.27 / $3,890.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $660.69 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,000.00 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $10,715.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $1,148.15 / $4,168.69
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,862.09 / $5,128.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $19,952.62 / $41,686.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $1,737.80 / $4,168.69