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Wisconsin 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 $16,982 · 10th–90th $4,571$30,2000%10%10th90th$16,982Professionalmedian $2,138 · 10th–90th $437$7,4130%5%10th90th$2,138$50.0$200.0$1.0K$5.0K$20.0K

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
$870.96 / $10,471.29 / $39,810.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,071.52 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $18,197.01 / $29,512.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $2,884.03 / $9,772.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $7,079.46 / $11,220.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,513.56 / $8,128.31
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $6,760.83 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,479.11 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $10,715.19 / $21,379.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,786.30 / $12,022.64
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $12,882.50 / $27,542.29
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $3,162.28 / $10,715.19
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $2,454.71 / $7,585.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $25,118.86 / $37,153.52
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $4,677.35 / $15,488.17
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $12,589.25
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $9,549.93 / $15,848.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $17,378.01 / $23,442.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $2,454.71 / $9,549.93