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Clearing A Blocked Dialysis Access Site

Indiana 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?

$17,536

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

Insurers have agreed to pay about $17,536 for this procedure. That total is two separate charges: $1,318 to the doctor who performs it, and $16,218 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,318$398 to $1,905
Facility feeThe hospital or surgery center$16,218$4,898 to $26,915

How much rates vary

Facilitymedian $16,218 · 10th to 90th $1,585 to $30,903Professionalmedian $1,318 · 10th to 90th $331 to $2,188
$500$1K$2K$5K$10K$20K$50Kfacility $16,218professional $1,318

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
$416.87
Median
$4,897.79
Typical High
$16,218.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$1,380.38
Typical High
$2,089.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$23,988.33
Typical High
$33,113.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$1,202.26
Typical High
$2,344.23
CareSource
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$371.54
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$1,380.38
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$10,964.78
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$1,412.54
Typical High
$3,162.28

Where Indiana 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

Indiana· 1st of 50

$17,536

$1,318 physician + $16,218 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.