$1,516.84–$2,395.06
Choose 36904 for dialysis-circuit clot treatment without the central balloon angioplasty included in 36906.
On this page
CMS RVU26D · Effective 2026-10-01
36906 Dialysis access intervention Medicare reimbursement rates
Reports catheter-based clot removal or thrombolysis in a dialysis access circuit together with balloon treatment of a central venous narrowing. Compare 36906 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 36906?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$5111.57–$8371.32
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $3259.75 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 36906 pays more and less
109 payment localities
$5111.57 to $8371.32
Interventional radiology
About 36906: Dialysis circuit thrombectomy with central angioplasty
Reports catheter-based clot removal or thrombolysis in a dialysis access circuit together with balloon treatment of a central venous narrowing.
This service treats a clotted hemodialysis access circuit, such as an arteriovenous fistula or graft, by removing clot mechanically or using thrombolytic infusion and dilating a narrowing in the central venous outflow with a balloon. Interventional radiologists, vascular surgeons, and clinicians who perform dialysis-access interventions commonly provide it in an angiography suite or hospital procedure room. Imaging used to guide and assess the treatment is included in the service.
Select this code when the session includes clot treatment and balloon angioplasty of the central dialysis segment. The report should identify the access circuit, the clot treatment performed, the central narrowing treated, and the imaging findings supporting the intervention. Same-day preoperative and postoperative care is included in the 0-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment is barred by statute; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 36906
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.16 · 6%
- Practice expense (office) RVU165.43 · 93%
- Malpractice RVU1.50 · 1%
9.1K
Medicare services in 2024 · #1527 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
36906 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$1,920.73–$3,043.39
Choose 36905 when clot treatment is paired with balloon angioplasty in the peripheral dialysis segment, rather than the central segment.
$505.56–$788.09
36907 is an add-on for central-segment balloon angioplasty with an eligible primary service when that angioplasty is not already included in the primary code.
$1,206.57–$1,939.25
36908 covers central-segment stent placement as an add-on; 36906 represents clot treatment with central balloon angioplasty.
See how rates vary across the country
36906 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$5,111.57
$7,399.63
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $6,421.30 | 1 |
| AL | $5,202.53 | 1 |
| AR | $5,111.57 | 1 |
| AZ | $5,736.46 | 1 |
| CA | $6,427.94–$8,371.32 | 29 |
| CO | $6,261.70 | 1 |
| CT | $6,357.74 | 1 |
| DC | $6,922.49 | 1 |
| DE | $5,845.30 | 1 |
| FL | $5,697.04–$6,218.12 | 3 |
| GA | $5,327.83–$6,014.46 | 2 |
| GU | $6,650.87 | 1 |
| HI | $6,650.87 | 1 |
| IA | $5,415.09 | 1 |
| ID | $5,446.52 | 1 |
| IL | $5,462.45–$6,105.21 | 4 |
| IN | $5,485.85 | 1 |
| KS | $5,359.67 | 1 |
| KY | $5,297.38 | 1 |
| LA | $5,277.43–$5,595.77 | 2 |
| MA | $6,203.08–$6,995.32 | 2 |
| MD | $5,980.56–$6,922.49 | 3 |
| ME | $5,453.99–$5,846.75 | 2 |
| MI | $5,440.71–$5,755.94 | 2 |
| MN | $6,039.93 | 1 |
| MO | $5,151.14–$5,649.84 | 3 |
| MS | $5,133.84 | 1 |
| MT | $5,914.87 | 1 |
| NC | $5,526.67 | 1 |
| ND | $5,885.21 | 1 |
| NE | $5,458.34 | 1 |
| NH | $6,135.25 | 1 |
| NJ | $6,441.75–$6,823.83 | 2 |
| NM | $5,466.42 | 1 |
| NV | $5,912.12 | 1 |
| NY | $5,623.81–$7,023.94 | 5 |
| OH | $5,434.65 | 1 |
| OK | $5,312.56 | 1 |
| OR | $5,877.98–$6,520.90 | 2 |
| PA | $5,459.12–$6,157.29 | 2 |
| PR | $5,974.99 | 1 |
| RI | $6,098.34 | 1 |
| SC | $5,487.51 | 1 |
| SD | $5,881.70 | 1 |
| TN | $5,388.95 | 1 |
| TX | $5,414.11–$6,230.41 | 8 |
| UT | $5,578.32 | 1 |
| VA | $5,806.30–$6,922.49 | 2 |
| VI | $5,974.99 | 1 |
| VT | $5,834.96 | 1 |
| WA | $6,200.25–$7,177.06 | 2 |
| WI | $5,648.22 | 1 |
| WV | $5,212.72 | 1 |
| WY | $5,901.94 | 1 |
Compare 36906 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $5202.53 | Facility $416.52 |
| Alaska* | Office $6421.30 | Facility $596.04 |
| Arizona | Office $5736.46 | Facility $436.29 |
| Arkansas | Office $5111.57 | Facility $413.07 |
| Atlanta | Office $6014.46 | Facility $457.21 |
| Austin | Office $6230.41 | Facility $443.44 |
| Bakersfield | Office $6432.27 | Facility $437.45 |
| Baltimore/Surr. Cntys | Office $6335.63 | Facility $466.61 |
| Beaumont | Office $5414.11 | Facility $436.66 |
| Brazoria | Office $5856.93 | Facility $436.42 |
| Chicago | Office $6009.85 | Facility $512.77 |
| Chico | Office $6427.94 | Facility $433.11 |
| Colorado | Office $6261.70 | Facility $441.90 |
| Connecticut | Office $6357.74 | Facility $466.84 |
| Dallas | Office $5888.80 | Facility $440.95 |
| Dc + Md/Va Suburbs | Office $6922.49 | Facility $479.15 |
| Delaware | Office $5845.30 | Facility $441.20 |
| Detroit | Office $5755.94 | Facility $477.65 |
| East St. Louis | Office $5523.73 | Facility $491.57 |
| El Centro | Office $6428.19 | Facility $433.36 |
| Fort Lauderdale | Office $6027.28 | Facility $486.44 |
| Fort Worth | Office $5834.20 | Facility $441.04 |
| Fresno | Office $6427.94 | Facility $433.11 |
| Galveston | Office $5870.38 | Facility $438.94 |
| Hanford-Corcoran | Office $6427.94 | Facility $433.11 |
| Hawaii, Guam | Office $6650.87 | Facility $431.78 |
| Houston | Office $5897.84 | Facility $466.40 |
| Idaho | Office $5446.52 | Facility $414.37 |
| Indiana | Office $5485.85 | Facility $415.41 |
| Iowa | Office $5415.09 | Facility $410.28 |
| Kansas | Office $5359.67 | Facility $415.03 |
| Kentucky | Office $5297.38 | Facility $434.78 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $6923.21 | Facility $452.52 |
| Madera | Office $6427.94 | Facility $433.11 |
| Manhattan | Office $6861.18 | Facility $505.35 |
| Merced | Office $6427.94 | Facility $433.11 |
| Metropolitan Boston | Office $6995.32 | Facility $464.46 |
| Metropolitan Kansas City | Office $5576.76 | Facility $440.68 |
| Metropolitan Philadelphia | Office $6157.29 | Facility $463.30 |
| Metropolitan St. Louis | Office $5649.84 | Facility $442.66 |
| Miami | Office $6218.12 | Facility $524.13 |
| Minnesota | Office $6039.93 | Facility $411.58 |
| Mississippi | Office $5133.84 | Facility $424.40 |
| Modesto | Office $6427.94 | Facility $433.11 |
| Montana** | Office $5914.87 | Facility $445.13 |
| Napa | Office $7668.81 | Facility $459.70 |
| Nebraska | Office $5458.34 | Facility $409.78 |
| Nevada** | Office $5912.12 | Facility $436.92 |
| New Hampshire | Office $6135.25 | Facility $441.26 |
| New Mexico | Office $5466.42 | Facility $450.67 |
| New Orleans | Office $5595.77 | Facility $448.76 |
| North Carolina | Office $5526.67 | Facility $423.41 |
| North Dakota** | Office $5885.21 | Facility $415.47 |
| Northern Nj | Office $6823.83 | Facility $478.94 |
| Nyc Suburbs/Long Island | Office $7023.94 | Facility $520.43 |
| Ohio | Office $5434.65 | Facility $440.78 |
| Oklahoma | Office $5312.56 | Facility $428.09 |
| Oxnard-Thousand Oaks-Ventura | Office $6911.22 | Facility $446.00 |
| Portland | Office $6520.90 | Facility $444.03 |
| Poughkpsie/N Nyc Suburbs | Office $6465.68 | Facility $476.33 |
| Puerto Rico | Office $5974.99 | Facility $445.10 |
| Queens | Office $6964.47 | Facility $499.25 |
| Redding | Office $6427.94 | Facility $433.11 |
| Rest Of California | Office $6427.94 | Facility $433.11 |
| Rest Of Florida | Office $5697.04 | Facility $467.98 |
| Rest Of Georgia | Office $5327.83 | Facility $448.83 |
| Rest Of Illinois | Office $5462.45 | Facility $468.59 |
| Rest Of Louisiana | Office $5277.43 | Facility $436.72 |
| Rest Of Maine | Office $5453.99 | Facility $421.83 |
| Rest Of Maryland | Office $5980.56 | Facility $445.19 |
| Rest Of Massachusetts | Office $6203.08 | Facility $443.45 |
| Rest Of Michigan | Office $5440.71 | Facility $446.84 |
| Rest Of Missouri | Office $5151.14 | Facility $436.23 |
| Rest Of New Jersey | Office $6441.75 | Facility $468.80 |
| Rest Of New York | Office $5623.81 | Facility $427.56 |
| Rest Of Oregon | Office $5877.98 | Facility $430.13 |
| Rest Of Pennsylvania | Office $5459.12 | Facility $437.90 |
| Rest Of Texas | Office $5628.30 | Facility $437.53 |
| Rest Of Washington | Office $6200.25 | Facility $440.63 |
| Rhode Island | Office $6098.34 | Facility $448.11 |
| Riverside-San Bernardino-Ontario | Office $6444.16 | Facility $449.33 |
| Sacramento-Roseville-Folsom | Office $6804.59 | Facility $443.30 |
| Salinas | Office $6780.79 | Facility $441.38 |
| San Diego-Chula Vista-Carlsbad | Office $6985.20 | Facility $443.40 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $8185.56 | Facility $473.24 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $8183.86 | Facility $471.53 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $8371.32 | Facility $483.97 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $8364.36 | Facility $477.01 |
| San Luis Obispo-Paso Robles | Office $6665.53 | Facility $435.51 |
| Santa Cruz-Watsonville | Office $7086.83 | Facility $441.11 |
| Santa Maria-Santa Barbara | Office $6818.46 | Facility $440.75 |
| Santa Rosa-Petaluma | Office $7161.72 | Facility $444.89 |
| Seattle (King Cnty) | Office $7177.06 | Facility $465.70 |
| South Carolina | Office $5487.51 | Facility $433.48 |
| South Dakota** | Office $5881.70 | Facility $411.97 |
| Southern Maine | Office $5846.75 | Facility $426.24 |
| Stockton | Office $6427.94 | Facility $433.11 |
| Suburban Chicago | Office $6105.21 | Facility $487.79 |
| Tennessee | Office $5388.95 | Facility $416.96 |
| Utah | Office $5578.32 | Facility $436.78 |
| Vallejo | Office $7666.35 | Facility $457.25 |
| Vermont | Office $5834.96 | Facility $419.93 |
| Virgin Islands | Office $5974.99 | Facility $445.10 |
| Virginia | Office $5806.30 | Facility $429.56 |
| Visalia | Office $6427.94 | Facility $433.11 |
| West Virginia | Office $5212.72 | Facility $459.52 |
| Wisconsin | Office $5648.22 | Facility $408.22 |
| Wyoming** | Office $5901.94 | Facility $432.21 |
| Yuba City | Office $6427.94 | Facility $433.11 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
36906 billing questions
How does this differ from 36905?
Both include clot treatment in the dialysis circuit and balloon angioplasty. Use 36906 when the balloon treatment is in the central dialysis segment; 36905 identifies angioplasty in the peripheral segment.
Can 36906 be reported with 36907 for the same central angioplasty?
The central-segment balloon treatment is included in 36906. Do not separately report 36907 for that same angioplasty.
Is imaging separately reported with this service?
Imaging used for the dialysis-circuit intervention and its radiological supervision and interpretation are included in the service.
What should the procedure note support?
Document the dialysis access circuit, the mechanical clot removal or thrombolytic treatment performed, and the central-segment narrowing treated with a balloon.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons are payable only when supporting documentation is provided.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,56436903,,Intro cath dialysis circuit,A,,6.23,136.52,,1.05,,1.03,143.78,8.31,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56536904,,Thrmbc/nfs dialysis circuit,A,,7.31,43.68,,1.16,,1.13,52.12,9.60,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56636905,,Thrmbc/nfs dialysis circuit,A,,8.78,55.95,,1.48,,1.29,66.02,11.55,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56736906,,Thrmbc/nfs dialysis circuit,A,,10.16,165.43,,1.67,,1.50,177.09,13.33,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56836907,,Balo angiop ctr dialysis seg,A,,2.93,13.94,,0.44,,0.45,17.32,3.82,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,56936908,,Stent plmt ctr dialysis seg,A,,4.14,36.82,,0.61,,0.69,41.65,5.44,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,57036909,,Dialysis circuit embolj,A,,4.02,49.70,,0.57,,0.67,54.39,5.26,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00