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Stomach To Small Bowel Bypass With Vagotomy

New Mexico 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 $1,778 · 10th–90th $1,230$3,5480%10%10th90th$1,778Professionalmedian $1,380 · 10th–90th $1,175$2,1880%20%40%10th90th$1,380$50.0$200.0$1.0K$5.0K$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
$1,380.38
Median
$2,041.74
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,318.26
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$2,570.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,949.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,659.59
Typical High
$2,754.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,862.09
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$4,365.16
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,737.80
Typical High
$2,754.23