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Wyoming 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
$1,600.00 / $1,600.00 / $8,030.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.71 / $85.71 / $440.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.00 / $1,188.00 / $5,801.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.62 / $1,006.95 / $5,189.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,509.00 / $8,509.00 / $27,952.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,041.16 / $5,334.49 / $8,474.37