go back

Removing A Clot From A Bypass Graft

Wisconsin 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 $10,965 · 10th–90th $5,495$17,3780%10%10th90th$10,965Professionalmedian $1,413 · 10th–90th $1,047$1,9500%10%20%10th90th$1,413$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
$691.83
Median
$1,122.02
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$2,630.27
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$7,244.36
Typical High
$14,454.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$10,232.93
Typical High
$16,595.87
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$10,715.19
Typical High
$17,378.01
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$1,412.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$1,949.84
Quartz
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$17,782.79
Typical High
$17,782.79
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$13,182.57
Typical High
$16,595.87