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Stomach To Small Bowel Bypass With Vagotomy

Arizona 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 $2,884 · 10th–90th $1,288$8,3180%5%10%10th90th$2,884Professionalmedian $1,380 · 10th–90th $1,122$2,3990%20%10th90th$1,380$100.0$500.0$2.0K$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
$2,041.74
Median
$4,677.35
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,380.38
Typical High
$2,041.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$6,918.31
Typical High
$13,489.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,659.59
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$23,442.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$2,691.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,584.89
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,137.96
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$2,454.71