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Stomach To Small Bowel Bypass With Vagotomy

Louisiana 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 $2,512 · 10th–90th $794$4,3650%20%10th90th$2,512Professionalmedian $1,514 · 10th–90th $1,202$2,3990%20%10th90th$1,514$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$933.25
Median
$2,691.53
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$2,344.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,905.46
Typical High
$2,238.72
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$676.08
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,737.80
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,230.27
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,412.54
Typical High
$2,454.71