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Stomach To Small Bowel Bypass With Vagotomy

North Dakota 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 $1,288 · 10th–90th $1,175$8,5110%20%40%10th90th$1,288Professionalmedian $2,570 · 10th–90th $1,175$3,3880%10%10th90th$2,570$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
$1,174.90
Median
$1,288.25
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$3,311.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,884.03
Typical High
$3,388.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,344.23
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$2,754.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,137.96
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,819.70
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,819.70
Typical High
$3,019.95