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Dialysis Access Clot Removal With Balloon

Maine rates for HCPCS 36905

Restores a blocked dialysis access, wherever in the body it was created. Working through a needle puncture, the surgeon breaks up and draws out the clot and then stretches the narrowed part of the vessel open with a balloon carried on a thin tube. The X-ray pictures taken to guide and check the work are part of the service.

Rates data updated July 2026.

How much does Dialysis Access Clot Removal With Balloon cost?

$1,072

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,072 for this service. Most negotiated rates run $562 to $3,090.

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.

How much rates vary

Facilitymedian $23,442 · 10th to 90th $23,442 to $33,113Professionalmedian $1,023 · 10th to 90th $479 to $3,715
$500$1K$2K$5K$10K$20Kfacility $23,442professional $1,023

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$33,113.11
Typical High
$33,113.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$676.08
Typical High
$3,715.35
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$912.01
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$954.99
Typical High
$4,897.79
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$1,548.82
Typical High
$4,168.69
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$676.08
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$2,290.87
Typical High
$4,265.80

Where Maine sits

The same service costs 11.0 times more in California than in Vermont. 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.

Maine· 50th of 51

$1,072

CA $5,888VT $537

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.