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Dialysis Access Made From an Upper Arm Vein

Pennsylvania rates for HCPCS 36819

Creates a dialysis access by freeing a deep vein on the inner side of the upper arm, moving it to a shallower position just under the skin, and joining it to a nearby artery. The strong arterial flow makes the vein thicken and enlarge over several weeks so it can be reliably needled for dialysis. Using the patient's own vein avoids implanting artificial graft material.

Rates data updated July 2026.

How much does Dialysis Access Made From an Upper Arm Vein cost?

$4,074

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,074 for this service. Most negotiated rates run $1,738 to $6,761.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $871 to $8,318
$1K$2K$5K$10Kfacility $4,074

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,073.80
Typical High
$8,317.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$12,302.69
Typical High
$20,892.96
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,981.07
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$2,951.21
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,165.95
Typical High
$16,595.87

Where Pennsylvania sits

The same service costs 20.9 times more in Maine than in North Dakota. 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.

Pennsylvania· 32nd of 50

$4,074

ME $15,136ND $724

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.