# CPT 36821: Arteriovenous Anastomosis Open Direct

Medicare CPT 36821 pays $600.88 in a non-facility setting and $600.88 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $527.87 in Wisconsin to $757.83 in Alaska, a 44% spread.

Web page: https://www.med-reveal.com/rates/36821-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Vascular Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $600.88 |
| National facility | $600.88 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $757.83 | $757.83 |
| Florida | $694.54 | $694.54 |
| Illinois | $688.12 | $688.12 |
| New York | $667.96 | $667.96 |
| District of Columbia | $653.39 | $653.39 |
| New Jersey | $643.44 | $643.44 |
| Connecticut | $638.17 | $638.17 |
| Michigan | $634.03 | $634.03 |
| West Virginia | $628.30 | $628.30 |
| Maryland | $618.44 | $618.44 |
| Georgia | $615.54 | $615.54 |
| New Mexico | $611.15 | $611.15 |
| Massachusetts | $610.69 | $610.69 |
| Pennsylvania | $608.81 | $608.81 |
| Washington | $608.39 | $608.39 |
| Rhode Island | $601.39 | $601.39 |
| Montana | $600.69 | $600.69 |
| Puerto Rico | $600.67 | $600.67 |
| Virgin Islands | $600.67 | $600.67 |
| Louisiana | $595.52 | $595.52 |
| Texas | $594.23 | $594.23 |
| New Hampshire | $593.28 | $593.28 |
| Ohio | $591.67 | $591.67 |
| Delaware | $591.49 | $591.49 |
| Colorado | $591.31 | $591.31 |
| California | $590.73 | $590.73 |
| Missouri | $589.88 | $589.88 |
| Nevada | $584.54 | $584.54 |
| Utah | $583.94 | $583.94 |
| Arizona | $583.13 | $583.13 |
| Oregon | $582.89 | $582.89 |
| Kentucky | $579.75 | $579.75 |
| South Carolina | $577.37 | $577.37 |
| Wyoming | $575.26 | $575.26 |
| Hawaii | $575.14 | $575.14 |
| Virginia | $569.96 | $569.96 |
| Oklahoma | $566.62 | $566.62 |
| Mississippi | $559.19 | $559.19 |
| Maine | $558.97 | $558.97 |
| North Carolina | $557.61 | $557.61 |
| Vermont | $551.06 | $551.06 |
| Tennessee | $544.81 | $544.81 |
| Alabama | $543.76 | $543.76 |
| North Dakota | $542.35 | $542.35 |
| Indiana | $541.85 | $541.85 |
| Kansas | $540.98 | $540.98 |
| Idaho | $539.76 | $539.76 |
| Arkansas | $536.89 | $536.89 |
| South Dakota | $535.46 | $535.46 |
| Minnesota | $534.85 | $534.85 |
| Iowa | $531.70 | $531.70 |
| Nebraska | $530.75 | $530.75 |
| Wisconsin | $527.87 | $527.87 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 36821 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules