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Vermont 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
Professional
Modifier
Low / Median / High Price
$449.82 / $580.46 / $3,227.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.90 / $3,137.96 / $8,436.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.90 / $3,137.96 / $8,436.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,271.72 / $3,473.02 / $10,354.50