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Virginia 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 $4,169 · 10th–90th $537–$15,8490%5%10th90th$4,169Professionalmedian $2,042 · 10th–90th $457–$3,8900%10%10th90th$2,042$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$758.58 / $4,168.69 / $15,488.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,659.59 / $3,890.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $8,709.64 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,318.26 / $3,467.37
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $16,595.87 / $22,387.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,122.02 / $3,981.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $2,570.40 / $3,235.94
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $5,888.44 / $5,888.44
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,905.46 / $4,365.16
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $602.56 / $19,952.62
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,090.30 / $19,952.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $16,982.44 / $31,622.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $1,584.89 / $4,265.80