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Clearing A Blocked Dialysis Access Site

New Jersey 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?

$10,290

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $10,290 for this procedure. That total is two separate charges: $1,778 to the doctor who performs it, and $8,511 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$1,778$398 to $2,291
Facility feeThe hospital or surgery center$8,511$5,888 to $10,965

How much rates vary

Facilitymedian $8,511 · 10th to 90th $2,291 to $13,490Professionalmedian $1,778 · 10th to 90th $331 to $5,623
$500$1K$2K$5K$10K$20Kfacility $8,511professional $1,778

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
$1,995.26
Median
$8,511.38
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$1,819.70
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$851.14
Typical High
$3,630.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$2,884.03
Typical High
$3,311.31
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$21,379.62
Typical High
$28,840.32
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$1,778.28
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$9,549.93
Typical High
$23,988.33
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$1,659.59
Typical High
$3,548.13

Where New Jersey 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

New Jersey· 8th of 50

$10,290

$1,778 physician + $8,511 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.