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Clot Removal From A Bypass Graft With Repair

Maine 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?

$4,103

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

Insurers have agreed to pay about $4,103 for this procedure. That total is two separate charges: $1,349 to the doctor who performs it, and $2,754 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,349$1,096 to $1,549
Facility feeThe hospital or surgery center$2,754$2,692 to $5,754

How much rates vary

Facilitymedian $2,754 · 10th to 90th $2,138 to $7,079Professionalmedian $1,349 · 10th to 90th $912 to $1,738
$1K$2K$5Kfacility $2,754professional $1,349

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
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$1,412.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,318.26
Typical High
$1,737.80
Anthem BCBS
Setting
Professional
Modifier
62 · Two surgeons
Typical Low
$537.03
Median
$831.76
Typical High
$1,096.48
Anthem BCBS
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$138.04
Median
$208.93
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$120.23
Median
$181.97
Typical High
$245.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,137.96
Median
$4,265.80
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$1,995.26
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$2,137.96
Median
$2,691.53
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,380.38
Typical High
$1,659.59
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Facility
Modifier
None
Typical Low
$2,137.96
Median
$2,691.53
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$1,778.28

Where Maine 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

Maine· 48th of 51

$4,103

$1,349 physician + $2,754 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.