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Open Removal Of A Clot From A Dialysis Access

West Virginia rates for HCPCS 36831

Opens a dialysis access, the surgically created connection in an arm or leg used for hemodialysis, through an incision and removes the clot blocking it so flow is restored. The access itself is not reshaped or rebuilt during this procedure.

Rates data updated October 2026.

How much does Open Removal Of A Clot From A Dialysis Access cost?

$4,372

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $4,372 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $3,631 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$741$550 to $1,175
Facility feeThe hospital or surgery center$3,631$2,884 to $4,467

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,413 to $8,710Professionalmedian $741 · 10th to 90th $447 to $1,862
$500$1K$2K$5K$10Kfacility $3,631professional $741

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$676.08
CareSource
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$3,311.31
Typical High
$8,709.64
Cigna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$954.99
Typical High
$2,951.21
United
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$4,073.80
Typical High
$15,488.17
United
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$616.60
Typical High
$1,174.90

Where West Virginia sits

The same service costs 5.7 times more in Wisconsin than in Montana. 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.

Physician feeFacility fee

West Virginia· 35th of 51

$4,372

$741 physician + $3,631 facility

WI $10,553MT $1,848

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.