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Removing A Clot From A Bypass Graft

California 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 $10,715 · 10th–90th $4,786$20,8930%10%10th90th$10,715Professionalmedian $589 · 10th–90th $398$1,2020%20%10th90th$589$50.0$200.0$1.0K$5.0K$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
$4,466.84
Median
$10,000.00
Typical High
$23,988.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$11,220.18
Typical High
$17,782.79
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$12,589.25
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$3,801.89
Typical High
$4,466.84
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$562.34
Typical High
$4,365.16
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$1,202.26
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$50,118.72
Typical High
$50,118.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$13,803.84
Typical High
$28,840.32