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Clearing A Blocked Dialysis Access Site

Michigan 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?

$5,753

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

Insurers have agreed to pay about $5,753 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $5,012 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$741$457 to $2,188
Facility feeThe hospital or surgery center$5,012$4,898 to $5,754

How much rates vary

Facilitymedian $5,012 · 10th to 90th $2,188 to $8,511Professionalmedian $741 · 10th to 90th $355 to $2,455
$100$200$500$1K$2K$5K$10Kfacility $5,012professional $741

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
$1,000.00
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$1,479.11
Typical High
$2,398.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$501.19
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$660.69
Typical High
$3,235.94
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$4,897.79
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$1,862.09
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$9,120.11
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$1,698.24
Typical High
$2,818.38

Where Michigan 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

Michigan· 35th of 50

$5,753

$741 physician + $5,012 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.