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Clearing A Blocked Dialysis Access Site

Montana 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?

$4,544

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

Insurers have agreed to pay about $4,544 for this procedure. That total is two separate charges: $1,660 to the doctor who performs it, and $2,884 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$575 to $2,951
Facility feeThe hospital or surgery center$2,884$617 to $3,090

How much rates vary

Facilitymedian $2,884 · 10th to 90th $603 to $3,388Professionalmedian $1,660 · 10th to 90th $302 to $3,802
$100$200$500$1K$2K$5K$10Kfacility $2,884professional $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
Professional
Modifier
Global
Typical Low
$302.00
Median
$1,659.59
Typical High
$10,232.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$2,818.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,884.03
Typical High
$3,388.44
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$2,884.03
Typical High
$3,388.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$660.69
Typical High
$3,019.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$562.34
Typical High
$3,019.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,318.26
Typical High
$3,467.37

Where Montana 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

Montana· 42nd of 50

$4,544

$1,660 physician + $2,884 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.