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Stomach To Small Bowel Bypass With Vagotomy

Maryland 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 $437 · 10th–90th $302$1,2300%10%10th90th$437Professionalmedian $1,349 · 10th–90th $1,122$1,9500%20%10th90th$1,349$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
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,348.96
Typical High
$1,778.28
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,318.26
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,513.56
Typical High
$2,630.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,412.54
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,513.56
Typical High
$2,691.53
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,513.56
Typical High
$1,819.70