CPT code 36906: Dialysis access intervention2026 Medicare rate & RVUs in Salinas

Reports catheter-based clot removal or thrombolysis in a dialysis access circuit together with balloon treatment of a central venous narrowing.

CMS RVU26DEffective Oct 1, 2026One payment locality9.1K Medicare services in 2024

In Salinas, Medicare pays $6,780.79 for 36906 in the office and $441.38 when it’s performed in a hospital or facility.

$6,780.79Office (non-facility)
$441.38Hospital or facility
+14.6%vs the national office rate ($5,914.97)

Check a contract rate as a % of Medicare · 36906 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 36906 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Salinas
  2. What 36906 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 36906 covers

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.

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.

How Salinas compares for 36906

Across 109 of 109 payment localities, the office rate for 36906 runs from $5,111.57 in Arkansas to $8,371.32 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). Salinas pays $6,780.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

36906 in Salinas vs other payment areas
  1. Salinas · this page$6,780.79
  2. Bakersfield · California$6,432.27−$348.52
  3. Chico · California$6,427.94−$352.85
  4. El Centro · California$6,428.19−$352.60
  5. Fresno · California$6,427.94−$352.85
  6. Hanford-Corcoran · California$6,427.94−$352.85

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

36906 in every other Medicare payment locality
Payment localityOfficeFacility
MaderaCalifornia$6,427.94$433.11
MercedCalifornia$6,427.94$433.11
ModestoCalifornia$6,427.94$433.11
NapaCalifornia$7,668.81$459.70
Oxnard-Thousand Oaks-VenturaCalifornia$6,911.22$446.00
ReddingCalifornia$6,427.94$433.11
Rest Of CaliforniaCalifornia$6,427.94$433.11
Riverside-San Bernardino-OntarioCalifornia$6,444.16$449.33

36906 rates by state

Office rate range in each state. Select a state to see its payment localities.

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 every state and territory as a table
36906 office rate range by state
State / territoryOffice rate rangeLocalities
AK$6,421.301
AL$5,202.531
AR$5,111.571
AZ$5,736.461
CA$6,427.94–$8,371.3229
CO$6,261.701
CT$6,357.741
DC$6,922.491
DE$5,845.301
FL$5,697.04–$6,218.123
GA$5,327.83–$6,014.462
GU$6,650.871
HI$6,650.871
IA$5,415.091
ID$5,446.521
IL$5,462.45–$6,105.214
IN$5,485.851
KS$5,359.671
KY$5,297.381
LA$5,277.43–$5,595.772
MA$6,203.08–$6,995.322
MD$5,980.56–$6,922.493
ME$5,453.99–$5,846.752
MI$5,440.71–$5,755.942
MN$6,039.931
MO$5,151.14–$5,649.843
MS$5,133.841
MT$5,914.871
NC$5,526.671
ND$5,885.211
NE$5,458.341
NH$6,135.251
NJ$6,441.75–$6,823.832
NM$5,466.421
NV$5,912.121
NY$5,623.81–$7,023.945
OH$5,434.651
OK$5,312.561
OR$5,877.98–$6,520.902
PA$5,459.12–$6,157.292
PR$5,974.991
RI$6,098.341
SC$5,487.511
SD$5,881.701
TN$5,388.951
TX$5,414.11–$6,230.418
UT$5,578.321
VA$5,806.30–$6,922.492
VI$5,974.991
VT$5,834.961
WA$6,200.25–$7,177.062
WI$5,648.221
WV$5,212.721
WY$5,901.941

See 36906 in every payment locality

How the 36906 rate is calculated

Each of 36906’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 36906

RVUs × geographic indexes × conversion factor

Work10.16

10.16 RVUs× 1.000 GPCI

Practice expense165.43

165.43 RVUs× 1.000 GPCI

Malpractice1.50

1.50 RVUs× 1.000 GPCI

Adjusted RVUs

177.0900

Conversion factor

$33.4009

Medicare rate

$5,914.97

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Salinas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,567

Code
36906
Physician work
10.16
Practice expense
165.43
Malpractice
1.50

GPCI2026.csv

22

Locality
Salinas
Physician work
1.031
Practice expense
1.159
Malpractice
0.536
Office calculation for 36906 in Salinas
ComponentRVULocality factorAdjusted
Physician work10.16× 1.03110.4750
Practice expense165.43× 1.159191.7334
Malpractice1.50× 0.5360.8040
Total RVUs203.0123
Conversion factor× 33.4009

Office rate, Salinas$6780.79

Office: (10.16 × 1.031 + 165.43 × 1.159 + 1.5 × 0.536) × $33.4009 = $6780.79

Facility: (10.16 × 1.031 + 1.67 × 1.159 + 1.5 × 0.536) × $33.4009 = $441.38

Open 36906 in the RVU calculator

Payment rules and modifiers for 36906

The CMS indicators that decide how 36906 is paid alongside other services.

CMS payment indicators · 36906

Dialysis access intervention

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

36906 without 51 · national office

$5,914.97

Dialysis access intervention

36906-51 · Second procedure: 50%

$2,957.49

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 36906 has changed in Salinas

36906 · Office / nonfacility

$6780.79

Effective 2026-10-01

The base rate is $1139.99 higher than on 2025-10-01, moving from $5640.80 to $6780.79 (20.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $5640.80changed to$6780.79

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 10.42 changed to 10.16
    • Practice expense RVU 139.71 changed to 165.43
    • Work GPCI 1.035 changed to 1.031
    • Practice expense GPCI 1.165 changed to 1.159
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $6069.96changed to$5640.80

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 146.54 changed to 139.71
    • Malpractice RVU 1.51 changed to 1.50

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $5970.89changed to$6069.96

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $6304.89changed to$5970.89

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 151.66 changed to 146.54
    • Malpractice RVU 1.48 changed to 1.51
    • Work GPCI 1.050 changed to 1.035
    • Practice expense GPCI 1.149 changed to 1.165
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $6626.43changed to$6304.89

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 158.47 changed to 151.66
    • Malpractice RVU 1.42 changed to 1.48
    • Work GPCI 1.064 changed to 1.050
    • Practice expense GPCI 1.133 changed to 1.149
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $7194.05changed to$6626.43

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 173.18 changed to 158.47
    • Malpractice RVU 1.41 changed to 1.42
    • Work GPCI 1.058 changed to 1.064
    • Practice expense GPCI 1.122 changed to 1.133

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $7240.88changed to$7194.05

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 169.86 changed to 173.18
    • Malpractice RVU 1.38 changed to 1.41
    • Work GPCI 1.051 changed to 1.058
    • Practice expense GPCI 1.112 changed to 1.122
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $7346.78changed to$7240.88

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 174.72 changed to 169.86
    • Malpractice RVU 1.42 changed to 1.38
    • Work GPCI 1.026 changed to 1.051
    • Practice expense GPCI 1.101 changed to 1.112
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $7534.55changed to$7346.78

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 181.14 changed to 174.72
    • Malpractice RVU 1.46 changed to 1.42
    • Work GPCI 1.024 changed to 1.026
    • Practice expense GPCI 1.092 changed to 1.101

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $7388.53changed to$7534.55

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 9.88 changed to 10.42
    • Practice expense RVU 179.83 changed to 181.14
    • Malpractice RVU 1.64 changed to 1.46
    • Practice expense GPCI 1.083 changed to 1.092
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$7388.53

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$6,780.79$441.38RVU26D
2026-07-01$6,780.79$441.38RVU26C
2026-04-01$6,780.79$441.38RVU26B
2026-01-01$6,780.79$441.38RVU26A
2025-10-01$5,640.80$488.69RVU25D
2025-07-01$5,640.80$488.69RVU25C
2025-04-01$5,640.80$488.69RVU25B
2025-01-01$5,640.80$488.69RVU25A
2024-10-01$6,069.96$500.77RVU24D
2024-07-01$6,069.96$500.77RVU24C
2024-04-01$6,069.96$500.77RVU24B
2024-03-09$6,069.96$500.77RVU24AR
2024-01-01$5,970.89$492.60RVU24A
2023-10-01$6,304.89$515.44RVU23D
2023-07-01$6,304.89$515.44RVU23C
2023-04-01$6,304.89$515.44RVU23B
2023-01-01$6,304.89$515.44RVU23A
2022-10-01$6,626.43$531.03RVU22D
2022-07-01$6,626.43$531.03RVU22C
2022-04-01$6,626.43$531.03RVU22B
2022-01-01$6,626.43$531.03RVU22A
2021-10-01$7,194.05$532.28RVU21D
2021-07-01$7,194.05$532.28RVU21C
2021-04-01$7,194.05$532.28RVU21B
2021-01-01$7,194.05$532.28RVU21A
2020-10-01$7,240.88$547.32RVU20D
2020-07-01$7,240.88$547.32RVU20C
2020-04-01$7,240.88$547.32RVU20B
2020-01-01$7,240.88$547.32RVU20A
2019-10-01$7,346.78$535.47RVU19D
2019-07-01$7,346.78$535.47RVU19C
2019-04-01$7,346.78$535.47RVU19B
2019-01-01$7,346.78$535.47RVU19A
2018-10-01$7,534.55$534.34RVU18D
2018-07-01$7,534.55$534.34RVU18C
2018-04-01$7,534.55$534.34RVU18B
2018-01-01$7,534.55$534.34RVU18AR1
2017-10-01$7,388.53$513.65RVU17D
2017-07-01$7,388.53$513.65RVU17C
2017-04-01$7,388.53$513.65RVU17B
2017-01-01$7,388.53$513.65RVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 36906 for an earlier date of service

Where the Salinas rate applies

Salinas is a Medicare payment area, not a city. Our Census mapping connects it to 30 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in California

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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 36906PPRRVU2026_Oct_nonQPP.csv, line 4,567 (RVU26D)
Geographic factors for SalinasGPCI2026.csv, line 22 (RVU26D)

Open CMS sourceHow we calculate rates

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