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Clot Removal From A Bypass Graft With Repair

Hawaii rates for HCPCS 35876

Clears a blood clot out of a blocked bypass graft and, in the same operation, repairs the graft itself — for example widening a narrowed segment or replacing a failing part of it. Dealing with the underlying problem as well as the clot makes it less likely the graft clots again. It is done when a bypass has stopped working and the cause is found at surgery.

Rates data updated October 2026.

How much does Clot Removal From A Bypass Graft With Repair cost?

$4,307

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $4,307 for this procedure. That total is two separate charges: $1,072 to the doctor who performs it, and $3,236 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,072$891 to $1,202
Facility feeThe hospital or surgery center$3,236$3,236 to $7,079

How much rates vary

Facilitymedian $3,236 · 10th to 90th $2,951 to $8,511Professionalmedian $1,072 · 10th to 90th $30 to $12,882
$50$200$1K$5K$20Kfacility $3,236professional $1,072

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$8,511.38
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,122.02
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,951.21
Median
$3,235.94
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$977.24
Typical High
$1,584.89
United
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,348.96
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$1,202.26
Typical High
$14,125.38

Where Hawaii sits

The same service costs 4.0 times more in Wisconsin than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Hawaii· 46th of 51

$4,307

$1,072 physician + $3,236 facility

WI $11,674MT $2,925

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.