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Surgical Clot Removal From an Arm or Shoulder Vein

Wisconsin rates for HCPCS 34490

Open surgery that clears a blood clot out of a large vein in the shoulder or upper arm through an incision in the arm. The vein is opened, or a balloon-tipped catheter is passed along it, so the clot can be drawn out and normal flow restored.

Rates data updated July 2026.

How much does Surgical Clot Removal From an Arm or Shoulder Vein cost?

$9,493

Typical total for the visit. In Wisconsin, July 2026.

Insurers have agreed to pay about $9,493 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $8,318 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,175$776 to $2,138
Facility feeThe hospital or surgery center$8,318$6,166 to $10,715

How much rates vary

Facilitymedian $8,318 · 10th to 90th $4,786 to $14,125Professionalmedian $1,175 · 10th to 90th $676 to $2,884
$500$1K$2K$5K$10Kfacility $8,318professional $1,175

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
$776.25
Median
$1,096.48
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$2,818.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,317.64
Typical High
$14,125.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,174.90
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,584.89
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,698.24
Typical High
$2,137.96
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$7,244.36
Typical High
$14,454.40
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,412.54
Typical High
$1,621.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$7,585.78
Typical High
$12,589.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,230.27
Typical High
$3,548.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$831.76
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$8,511.38
Typical High
$9,120.11
Network Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,698.24
Typical High
$2,691.53
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$1,258.93
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,380.38
Typical High
$1,905.46
Quartz
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$9,120.11
Typical High
$9,120.11
Quartz
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$2,951.21
Typical High
$4,466.84
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,715.35
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$10,232.93
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,174.90
Typical High
$2,691.53

Where Wisconsin sits

The same service costs 8.1 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

Wisconsin· 4th of 50

$9,493

$1,175 physician + $8,318 facility

IN $10,941WV $1,352

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.