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Partial Stomach Removal With Intestinal Pouch

Vermont rates for HCPCS 43634

Removes the lower portion of the stomach and rebuilds the digestive path by fashioning a pouch out of intestine to take over some of the stomach's storage job. The pouch is then connected so food can pass through and be held briefly before moving on.

Rates data updated July 2026.

How much does Partial Stomach Removal With Intestinal Pouch cost?

$2,188

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $2,188 for this service. Most negotiated rates run $2,138 to $2,512.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $2,188 · 10th to 90th $2,042 to $2,884
$2K$5Kprofessional $2,188

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
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,187.76
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$2,884.03
Typical High
$4,677.35
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,884.03
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,951.21
Typical High
$5,011.87

Where Vermont sits

The same service costs 2.3 times more in Alaska 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.

Vermont· 48th of 51

$2,188

AK $4,677KY $2,042

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.