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Clearing A Blocked Dialysis Access Site

Iowa 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?

$8,067

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

Insurers have agreed to pay about $8,067 for this procedure. That total is two separate charges: $2,042 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,042$562 to $2,951
Facility feeThe hospital or surgery center$6,026$4,365 to $7,943

How much rates vary

Facilitymedian $6,026 · 10th to 90th $955 to $13,183Professionalmedian $2,042 · 10th to 90th $380 to $6,457
$500$1K$2K$5K$10Kfacility $6,026professional $2,042

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
$5,370.32
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$2,041.74
Typical High
$12,589.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$3,388.44
Typical High
$5,128.61
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$2,238.72
Typical High
$3,715.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,677.35
Typical High
$14,454.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$3,388.44
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$3,715.35
Typical High
$6,456.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,122.02
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$11,748.98
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,862.09
Typical High
$5,370.32
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$794.33
Typical High
$4,265.80

Where Iowa 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

Iowa· 13th of 50

$8,067

$2,042 physician + $6,026 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.