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Synthetic Bypass From A Pelvic Artery To The Gut

Pennsylvania rates for HCPCS 35633

Routes blood from one of the large pelvic arteries to the artery that supplies the intestines, using a man-made tube as the new channel. It is done when that intestinal artery is blocked near its origin and the aorta is not a suitable place to attach a graft, restoring the blood supply the bowel needs to digest food. The operation is performed through an open abdominal incision.

Rates data updated July 2026.

Facilitymedian $5,370 · 10th–90th $1,096$8,5110%10%10th90th$5,370$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$5,370.32
Typical High
$8,317.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$2,754.23
Typical High
$7,079.46