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Tennessee 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
$1,380.38 / $3,548.13 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $1,659.59 / $3,801.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $7,943.28 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,513.56 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,380.38 / $4,073.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $37,153.52 / $37,153.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,488.17 / $18,197.01 / $18,197.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $10,964.78 / $19,952.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $2,041.74 / $4,677.35