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Texas 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
$921.00 / $3,730.00 / $14,449.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.87 / $1,765.57 / $3,063.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.10 / $1,848.91 / $1,965.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,459.41 / $15,556.31 / $31,013.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.13 / $1,868.49 / $2,923.64
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,069.04 / $11,489.15 / $30,033.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.97 / $9,598.35 / $9,598.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,317.58 / $9,317.58 / $9,317.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.56 / $921.70 / $3,624.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $3,427.97
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,054.86 / $15,435.28 / $18,182.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.89 / $1,914.88 / $3,813.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.55 / $2,713.52 / $3,652.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.43 / $1,914.88 / $4,046.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.89 / $1,984.06 / $4,440.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.59 / $1,328.70 / $4,005.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,409.00 / $8,529.00 / $17,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,860.87 / $2,527.78 / $4,004.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.47 / $1,988.08 / $2,832.03