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Tying Off The Main Vein From The Lower Body

North Dakota rates for HCPCS 37619

Surgery to tie off the inferior vena cava, the large vein that carries blood from the legs and abdomen back to the heart. Closing it stops blood clots in the lower body from traveling up to the lungs, and can also be used to control heavy bleeding. Blood returns to the heart through smaller side channels afterwards.

Rates data updated July 2026.

How much does Tying Off The Main Vein From The Lower Body cost?

$3,311

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $3,388 from a physician practice, and about $1,778 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,388$1,820 to $3,890
FacilityA hospital or hospital-owned outpatient department$1,778$1,698 to $5,012

How much rates vary

Facilitymedian $1,778 · 10th to 90th $1,698 to $8,511Professionalmedian $3,388 · 10th to 90th $1,698 to $4,365
$2K$5Kfacility $1,778professional $3,388

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,778.28
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,778.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,715.35
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,090.30
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,344.23
Typical High
$5,011.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,019.95
Typical High
$3,890.45
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,884.03
Typical High
$4,168.69

Where North Dakota sits

The same service costs 4.9 times more in California than in Kentucky. 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.

North Dakota· 15th of 51

$3,311

CA $9,333KY $1,905

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.