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Stomach To Small Bowel Bypass With Vagotomy

Kansas 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 $3,162 · 10th–90th $912$9,1200%5%10th90th$3,162Professionalmedian $1,778 · 10th–90th $1,202$2,1380%20%10th90th$1,778$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
$1,659.59
Median
$6,309.57
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,412.54
Typical High
$2,137.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$912.01
Typical High
$1,380.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,621.81
Typical High
$2,754.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,584.89
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,737.80
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,778.28
Typical High
$5,011.87
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$2,290.87