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Removing A Clot From A Bypass Graft

Arizona rates for HCPCS 35875

Clears a blood clot out of a bypass graft that has clotted off, restoring flow through it. The graft is opened, the clot is drawn out with a balloon-tipped tube, and the opening is stitched closed. It is done urgently when a bypass suddenly stops working and the limb or organ it supplies is at risk.

Rates data updated July 2026.

Facilitymedian $5,888 · 10th–90th $2,042$11,7490%10%10th90th$5,888$500.0$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
$2,187.76
Median
$5,370.32
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$7,413.10
Typical High
$13,803.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,318.26
Typical High
$10,715.19
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,918.31
Typical High
$10,715.19