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Clot Removal From A Dialysis Cannula Using A Balloon

New Mexico 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 October 2026.

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

$245

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $3,715 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$158 to $251
FacilityA hospital or hospital-owned outpatient department$3,715$1,698 to $6,026

How much rates vary

Facilitymedian $3,715 · 10th to 90th $537 to $10,715Professionalmedian $204 · 10th to 90th $123 to $282
$50$200$1K$5K$20Kfacility $3,715professional $204

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
$151.36
Median
$1,548.82
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$165.96
Typical High
$251.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$3,715.35
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$204.17
Typical High
$295.12
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$40.74
Typical High
$204.17
Providence
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$2,238.72
Typical High
$5,370.32
Providence
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$204.17
Typical High
$295.12
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$5,495.41
Typical High
$16,982.44
United
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$208.93
Typical High
$281.84

Where New Mexico sits

The same service costs 20.4 times more in Kansas than in New York. 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.

New Mexico· 39th of 51

$245

KS $3,020NY $148

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.