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Synthetic Bypass From A Pelvic Artery To The Gut

Utah 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 $3,388 · 10th–90th $2,884$6,0260%20%10th90th$3,388Professionalmedian $3,090 · 10th–90th $1,585$12,0230%20%10th90th$3,090$2.0K$5.0K$10.0K

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
$2,884.03
Median
$3,388.44
Typical High
$6,025.60
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$4,466.84
Typical High
$13,803.84