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Clearing A Blocked Dialysis Access Site

Missouri 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?

$6,126

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

Insurers have agreed to pay about $6,126 for this procedure. That total is two separate charges: $1,660 to the doctor who performs it, and $4,467 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$1,660$437 to $2,188
Facility feeThe hospital or surgery center$4,467$2,754 to $7,244

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,778 to $12,882Professionalmedian $1,660 · 10th to 90th $372 to $3,467
$500$1K$2K$5K$10Kfacility $4,467professional $1,660

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
$1,778.28
Median
$4,168.69
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$1,905.46
Typical High
$3,890.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,897.79
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$1,288.25
Typical High
$2,570.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$1,584.89
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$776.25
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$2,290.87
Typical High
$13,803.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,162.28
Typical High
$13,182.57
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,570.88
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,698.24
Typical High
$3,981.07

Where Missouri 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

Missouri· 30th of 50

$6,126

$1,660 physician + $4,467 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.