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Removing A Clot From A Bypass Graft

Hawaii 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 $8,511 · 10th–90th $2,818$8,5110%50%10th$8,511Professionalmedian $617 · 10th–90th $562$7240%50%10th90th$617$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$8,511.38
Typical High
$8,511.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$616.60
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30