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Washington 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 $5,754 · 10th–90th $832–$31,6230%10%10th90th$5,754Professionalmedian $1,349 · 10th–90th $407–$5,0120%10%10th90th$1,349$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$831.76 / $6,456.54 / $28,183.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $1,348.96 / $3,890.45
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $29,512.09 / $60,255.96
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,318.26 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $15,488.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,348.96 / $6,606.93
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $4,073.80 / $46,773.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $2,754.23 / $7,585.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,265.80 / $4,786.30
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,235.94 / $3,235.94
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $3,090.30 / $5,495.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $30,199.52 / $60,255.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,318.26 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $36,307.81 / $66,069.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $2,187.76 / $5,011.87
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $758.58 / $5,011.87