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Stomach To Small Bowel Bypass With Vagotomy

Oklahoma 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 $1,622 · 10th–90th $1,000$6,4570%10%10th90th$1,622Professionalmedian $1,349 · 10th–90th $1,148$2,1380%20%10th90th$1,349$100.0$200.0$500.0$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
$1,000.00
Median
$1,513.56
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,698.24
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,513.56
Typical High
$2,089.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$4,677.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$9,549.93
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$2,041.74
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,412.54
Typical High
$2,089.30