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Removing A Clot From A Bypass Graft

Nebraska 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 $9,550 · 10th–90th $5,495$18,1970%10%10th90th$9,550Professionalmedian $1,318 · 10th–90th $1,023$1,8200%50%10th90th$1,318$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$11,481.54
Typical High
$18,197.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$10,000.00
Typical High
$19,498.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,288.25
Typical High
$16,982.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$7,244.36
Typical High
$9,332.54