Billing code 36906: Dialysis access interventionMedicare rate & RVUs in Enumclaw, Washington
Compare Medicare physician payments in Enumclaw, WA. Census city boundaries cover King County, Pierce County. Use the service ZIP to confirm the payment locality for a specific address.
Medicare pays $6,200.25–$7,177.06 for 36906 in the office in Enumclaw, Washington, from Rest Of Washington to Seattle (King Cnty). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 6 sections
Where 36906 pays more and less in Enumclaw, Washington
Enumclaw, Washington maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | $6,200.25 | $440.63 |
| Seattle (King Cnty) | $7,177.06 | $465.70 |
How payment areas work in Enumclaw
City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.
- Seattle (King Cnty) · King County
- Rest Of State · Pierce County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
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
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