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Partial Stomach Removal With Y-Shaped Rejoining

Montana rates for HCPCS 43633

Removes the lower portion of the stomach and rebuilds the digestive route by bringing a limb of small intestine up to what remains of the stomach, with a second join further down that returns bile and pancreatic juice to the stream. The Y-shaped arrangement keeps those digestive juices away from the remaining stomach. It is used for tumors, severe ulcer disease and other problems of the lower stomach.

Rates data updated July 2026.

Facilitymedian $3,311 · 10th–90th $1,950$3,8900%20%40%10th90th$3,311$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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,311.31
Typical High
$3,715.35
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,570.40
Typical High
$4,677.35
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87