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Removing A Clot From A Bypass Graft

South Dakota 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 $1,585 · 10th–90th $724$6,9180%10%10th90th$1,585Professionalmedian $1,047 · 10th–90th $741$1,1750%20%10th90th$1,047$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$4,365.16
Typical High
$6,918.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,000.00
Typical High
$1,584.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,318.26
Typical High
$1,318.26
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,023.29
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$11,481.54