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Stomach To Small Bowel Bypass With Vagotomy

Washington, DC 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 $2,138 · 10th–90th $1,514$7,7620%20%10th90th$2,138Professionalmedian $1,413 · 10th–90th $1,148$1,9050%20%40%10th90th$1,413$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,513.56
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,412.54
Typical High
$1,513.56
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,548.82
Typical High
$3,630.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,348.96
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,041.74
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,513.56
Typical High
$3,235.94