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Removing A Clot From A Bypass Graft

Montana 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 $1,023 · 10th–90th $977$1,2300%50%10th90th$1,023$1.0K$2.0K$5.0K$10.0K

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,023.29
Typical High
$1,230.27
Providence
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,047.13
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$11,481.54