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Removing A Clot From A Bypass Graft

Minnesota 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 $4,169 · 10th–90th $1,175$16,2180%10%10th90th$4,169$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
$588.84
Median
$588.84
Typical High
$4,466.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$10,471.29
Typical High
$24,547.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,905.46
Typical High
$5,248.07
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$4,168.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,479.11
Typical High
$12,302.69
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$10,000.00
Typical High
$14,454.40