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Removing A Clot From A Bypass Graft

Utah 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 $6,026 · 10th–90th $933$12,0230%10%10th90th$6,026Professionalmedian $933 · 10th–90th $537$1,1750%20%40%10th90th$933$500.0$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
$933.25
Median
$4,570.88
Typical High
$10,232.93
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$10,715.19
Typical High
$16,218.10
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$933.25
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,128.61
Typical High
$15,848.93