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Stomach To Small Bowel Bypass With Vagotomy

Alaska rates for HCPCS 43825

Creates a new connection between the stomach and the jejunum, the middle part of the small intestine, so food can pass around a blocked or narrowed stomach outlet. During the same operation the nerve that drives the stomach to make acid is also cut.

Rates data updated July 2026.

Facilitymedian $1,905 · 10th–90th $1,318$4,2660%5%10%10th90th$1,905Professionalmedian $3,311 · 10th–90th $1,288$7,4130%10%20%10th90th$3,311$100.0$200.0$500.0$1.0K$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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$9,772.37
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,659.59
Typical High
$4,168.69
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,862.09
Typical High
$3,090.30
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,073.80
Typical High
$8,317.64
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,370.32
Typical High
$7,585.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,862.09
Typical High
$3,090.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,905.46
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,737.80
Typical High
$5,248.07