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Removing A Clot From A Bypass Graft

North Carolina 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 $2,291 · 10th–90th $575$15,1360%10%10th90th$2,291$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$575.44
Median
$2,630.27
Typical High
$14,454.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$891.25
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$14,454.40
Typical High
$26,915.35
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$50,118.72