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 transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the stenting, and all angioplasty within the peripheral dialysis circuit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $456.76 | $779.99 | $9,827.12 | |
Anthem BCBS
| Professional | $616.67 | $1,079.83 | $8,447.31 | |
Cigna
| Professional | $659.83 | $1,079.76 | $9,889.42 | |
Harvard Pilgrim
| Professional | $552.12 | $1,090.83 | $8,250.25 | |
Martin's Point
| Professional | $456.76 | $779.99 | $9,341.40 | |
United
| Professional | $6,681.69 | $9,138.12 | $10,905.74 |