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Synthetic Bypass From A Pelvic Artery To The Gut

Wisconsin 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 $10,233 · 10th–90th $4,786$18,1970%10%10th90th$10,233Professionalmedian $4,677 · 10th–90th $3,467$6,6070%10%20%10th90th$4,677$1.0K$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
$2,290.87
Median
$3,715.35
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,370.32
Typical High
$8,709.64
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$7,413.10
Typical High
$14,454.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,548.13
Typical High
$9,549.93
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,801.89
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,290.87
Typical High
$3,548.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$6,606.93
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,022.64
Security Health
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,754.40
Typical High
$20,892.96