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Stomach To Small Bowel Bypass With Vagotomy

Missouri 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 $3,981 · 10th–90th $1,479$8,5110%5%10%10th90th$3,981Professionalmedian $1,445 · 10th–90th $1,175$3,0200%10%20%10th90th$1,445$100.0$500.0$2.0K$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
$1,412.54
Median
$3,890.45
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$3,311.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,677.35
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$2,454.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,691.53
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$2,754.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,737.80
Typical High
$3,801.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,949.84
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,818.38
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,621.81
Typical High
$2,691.53