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Stomach To Small Bowel Bypass With Vagotomy

Montana 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 $2,239 · 10th–90th $1,479$2,6300%20%40%10th90th$2,239Professionalmedian $1,738 · 10th–90th $1,202$3,3110%20%10th90th$1,738$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,202.26
Median
$1,288.25
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,778.28
Typical High
$3,890.45
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,238.72
Typical High
$2,511.89
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,238.72
Typical High
$2,511.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,778.28
Typical High
$3,090.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,089.30
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,089.30
Typical High
$2,754.23