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Stomach To Small Bowel Bypass With Vagotomy

Florida 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 $8,318 · 10th–90th $1,148$25,7040%10%10th90th$8,318Professionalmedian $1,349 · 10th–90th $1,072$2,0890%20%40%10th90th$1,349$50.0$200.0$1.0K$5.0K$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
$1,122.02
Median
$6,025.60
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,348.96
Typical High
$1,995.26
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$4,897.79
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,380.38
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$2,137.96
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,659.59
Typical High
$2,884.03
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$21,877.62
Typical High
$33,884.42
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,047.13
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$4,265.80
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$2,630.27
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,412.54