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Stomach To Small Bowel Bypass With Vagotomy

Iowa 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 $3,236 · 10th–90th $1,349$7,9430%10%10th90th$3,236Professionalmedian $1,820 · 10th–90th $1,148$5,6230%10%10th90th$1,820$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
$2,137.96
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,698.24
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,884.03
Typical High
$3,630.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,691.53
Typical High
$5,623.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,187.76
Typical High
$4,677.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,398.83
Typical High
$9,549.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,951.21
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,570.40
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,897.79
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,862.09
Typical High
$3,548.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,691.53
Typical High
$3,019.95