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Removing A Clot From A Bypass Graft

West Virginia 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 $617 · 10th–90th $617$3,6310%50%90th$617$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$3,630.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$7,943.28
Typical High
$15,488.17