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Clearing A Blocked Dialysis Access Site

Hawaii 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?

$724

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $724 for this service. Most negotiated rates run $427 to $2,570.

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.

How much rates vary

Facilitymedian $6,026 · 10th to 90th $2,570 to $6,026Professionalmedian $692 · 10th to 90th $324 to $2,754
$50$100$200$500$1K$2K$5Kfacility $6,026professional $692

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
$2,570.40
Median
$6,025.60
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$501.19
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,949.84
Typical High
$2,344.23
HMSA
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$724.44
Typical High
$2,951.21
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$2,137.96
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$1,905.46
Typical High
$2,630.27
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$2,754.23

Where Hawaii sits

The same service costs 6.3 times more in California than in Hawaii. 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.

Hawaii· 51st of 51

$724

CA $4,571HI $724

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.