go back

Removing A Clot From A Bypass Graft

Missouri 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 $4,571 · 10th–90th $1,778$9,5500%10%10th90th$4,571$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
$1,698.24
Median
$4,570.88
Typical High
$8,511.38
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,677.35
Typical High
$10,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$4,168.69
Typical High
$26,302.68
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,466.84
Typical High
$10,715.19