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Stomach To Small Bowel Bypass With Vagotomy

Nebraska 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 $7,943 · 10th–90th $1,445$18,1970%10%10th90th$7,943Professionalmedian $1,413 · 10th–90th $1,148$3,8020%20%10th90th$1,413$1.0K$2.0K$5.0K$10.0K$20.0K

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
$6,025.60
Median
$8,511.38
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,380.38
Typical High
$3,801.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$19,054.61
Typical High
$37,153.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,905.46
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$2,454.71
Typical High
$3,801.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,862.09
Typical High
$3,715.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$9,549.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,951.21
Typical High
$4,073.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,454.71
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,388.44
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,041.74
Typical High
$3,235.94