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Removing A Clot From A Bypass Graft

Washington 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 $6,457 · 10th–90th $1,000$23,9880%10%10th90th$6,457$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
$1,071.52
Median
$7,079.46
Typical High
$22,908.68
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$16,982.44
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,412.54
Typical High
$22,908.68
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,174.90
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$16,218.10
Typical High
$29,512.09
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$17,378.01
Typical High
$31,622.78