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Extra Needle Access Into A Dialysis Circuit

Virginia rates for HCPCS 36148

An additional needle or catheter is placed into a dialysis access — the surgically created connection between an artery and a vein used for hemodialysis — so that treatment can be carried out from a second entry point. It is billed in addition to the main access procedure.

Rates data updated October 2026.

How much does Extra Needle Access Into A Dialysis Circuit cost?

$380

Typical physician fee. In Virginia, October 2026.

Insurers have agreed to pay about $380 for this service. Most negotiated rates run $339 to $380.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $72 · 10th to 90th $72 to $339Professionalmedian $380 · 10th to 90th $309 to $380
$100$200$500$1Kfacility $72professional $380

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$257.04
Typical High
$323.59
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$1,047.13
Medcost
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$380.19
Typical High
$380.19
Medcost
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$338.84

Where Virginia sits

The same service costs 39.8 times more in Massachusetts than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 21st of 37

$380

MA $1,202SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.