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Clearing A Blocked Dialysis Access Site

West Virginia 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?

$2,671

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $2,671 for this procedure. That total is two separate charges: $1,259 to the doctor who performs it, and $1,413 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,259$427 to $2,089
Facility feeThe hospital or surgery center$1,413$380 to $1,778

How much rates vary

Facilitymedian $1,413 · 10th to 90th $380 to $2,630Professionalmedian $1,259 · 10th to 90th $380 to $2,455
$50$200$1K$5Kfacility $1,413professional $1,259

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
$380.19
Median
$1,412.54
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$2,454.71
CareSource
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$467.74
CareSource
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$1,778.28
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$7,943.28
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$1,148.15
Typical High
$3,019.95

Where West Virginia 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

West Virginia· 50th of 50

$2,671

$1,259 physician + $1,413 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.