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Clearing A Blocked Dialysis Access Site

Alaska rates for HCPCS 36904

This procedure removes a blood clot that is blocking a permanent dialysis access site, such as a fistula or graft, so that dialysis can continue safely. It's done by threading thin instruments through the skin into the blood vessel, guided by live imaging, and may include injecting a clot-dissolving medication directly at the site. The goal is to restore blood flow through the access without open surgery.

Rates data updated July 2026.

How much does Clearing A Blocked Dialysis Access Site cost?

$4,601

Typical total for the visit. In Alaska, July 2026.

Insurers have agreed to pay about $4,601 for this procedure. That total is two separate charges: $2,089 to the doctor who performs it, and $2,512 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,089$1,288 to $5,888
Facility feeThe hospital or surgery center$2,512$1,259 to $10,000

How much rates vary

Facilitymedian $2,512 · 10th to 90th $437 to $12,882Professionalmedian $2,089 · 10th to 90th $437 to $9,120
$500$1K$2K$5K$10K$20Kfacility $2,512professional $2,089

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. 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
Global
Typical Low
$1,258.93
Median
$10,715.19
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$2,089.30
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$1,288.25
Typical High
$3,019.95
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$2,089.30
Typical High
$9,120.11
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$3,019.95
Typical High
$10,715.19
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$6,606.93
Typical High
$9,332.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$2,089.30
Typical High
$9,120.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$512.86
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$1,995.26
Typical High
$6,918.31

Where Alaska sits

The same service costs 6.6 times more in Indiana than in West Virginia. 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

Alaska· 41st of 50

$4,601

$2,089 physician + $2,512 facility

IN $17,536WV $2,671

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.