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Synthetic Bypass From A Pelvic Artery To The Gut

Washington 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 $4,677 · 10th–90th $2,399$17,7830%10%10th90th$4,677$2.0K$5.0K$10.0K$20.0K

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
$2,398.83
Median
$5,011.87
Typical High
$18,620.87
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$4,073.80
Typical High
$5,370.32
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,630.78
Typical High
$3,981.07
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$2,511.89
Typical High
$5,754.40