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Clot Removal From A Dialysis Cannula Using A Balloon

Montana rates for HCPCS 36861

A clot is cleared from an external dialysis access cannula so that dialysis can go ahead. A balloon-tipped catheter is passed along the tube and drawn back with the balloon inflated, sweeping the clot out and restoring flow. The balloon is the tool used to pull out the clot itself.

Rates data updated July 2026.

How much does Clot Removal From A Dialysis Cannula Using A Balloon cost?

$240

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $240 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$234$195 to $263
FacilityA hospital or hospital-owned outpatient department$240$234 to $263

How much rates vary

Facilitymedian $240 · 10th to 90th $234 to $288Professionalmedian $234 · 10th to 90th $155 to $692
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $240professional $234

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
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$213.80
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$239.88
Typical High
$288.40
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$239.88
Typical High
$288.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$288.40
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$11,481.54
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$380.19

Where Montana sits

The same service costs 38.9 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $240 · 37th of 51
CA $6,026WV $155

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.