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Dialysis Access Clot Removal With Balloon

West Virginia 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?

$2,997

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

Insurers have agreed to pay about $2,997 for this procedure. That total is two separate charges: $1,585 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$1,585$479 to $2,344
Facility feeThe hospital or surgery center$1,413$457 to $2,239

How much rates vary

Facilitymedian $1,413 · 10th to 90th $457 to $3,631Professionalmedian $1,585 · 10th to 90th $407 to $3,090
$100$1K$10Kfacility $1,413professional $1,585

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
$457.09
Median
$1,412.54
Typical High
$2,238.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$2,630.27
CareSource
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$562.34
CareSource
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$691.83
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$2,238.72
Typical High
$10,715.19
United
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$13,182.57
Typical High
$32,359.37
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$1,412.54
Typical High
$3,801.89

Where West Virginia sits

The same service costs 9.7 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

$2,997

$1,585 physician + $1,413 facility

IN $29,164WV $2,997

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.