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Extra Needle Access Into A Dialysis Circuit

Washington 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 July 2026.

How much rates vary

Professionalmedian $219 · 10th to 90th $71 to $1,230
$100$200$500$1Kprofessional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$234.42
Typical High
$1,230.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$79.43