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Arm Surgery To Restore Hand Blood Flow

Nationwide rates for HCPCS 36838

Treats a hand starved of blood because a dialysis access in the arm is diverting flow away from it. The surgeon builds a short bypass around the access to feed the hand, and ties off the artery just below the access so blood is no longer pulled backwards. This keeps the dialysis access usable while the hand gets its circulation back.

Rates data updated July 2026.

How much does Arm Surgery To Restore Hand Blood Flow cost?

$7,804

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $7,804 for this procedure. That total is two separate charges: $1,778 to the doctor who performs it, and $6,026 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 51 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,778$1,202 to $2,455
Facility feeThe hospital or surgery center$6,026$3,236 to $9,772

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,514 to $14,791Professionalmedian $1,778 · 10th to 90th $977 to $3,548
$200$500$1K$2K$5K$10K$20Kfacility $6,026professional $1,778

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
$1,318.26
Median
$4,677.35
Typical High
$12,022.64
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$7,943.28
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,548.13
Typical High
$16,595.87
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$8,128.31
Typical High
$17,782.79

What it costs in each state

The same service costs 3.0 times more in Wisconsin than in Oregon. 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

Touch or drag across the chart to see any state's rate.

WI $13,656OR $4,530

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.