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Stomach To Small Bowel Bypass With Vagotomy

Idaho 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 $1,995 · 10th–90th $1,318$4,8980%10%10th90th$1,995Professionalmedian $1,778 · 10th–90th $1,259$2,7540%10%20%10th90th$1,778$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
$4,466.84
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$3,801.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$5,011.87
Typical High
$6,025.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,454.71
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,905.46
Typical High
$2,454.71
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,862.09
Typical High
$3,311.31
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,238.72
Typical High
$2,691.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,096.48
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,570.40
Typical High
$3,019.95
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$2,818.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,096.48
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$15,488.17
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,819.70
Typical High
$2,691.53