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 | $506.09 | $506.09 | $5,885.97 | |
BCBS
| Professional | $1,143.00 | $1,372.00 | $13,752.00 | |
Cigna
| Professional | $689.28 | $1,175.07 | $15,458.05 | |
United
| Facility | $16,952.00 | $16,952.00 | $34,440.00 | |
United
| Professional | $10,524.25 | $14,095.49 | $25,258.18 |