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Stomach To Small Bowel Bypass With Vagotomy

South Carolina 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 $1,820 · 10th–90th $1,318$12,3030%10%20%10th90th$1,820Professionalmedian $1,413 · 10th–90th $1,175$2,2390%20%10th90th$1,413$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
$1,548.82
Median
$9,120.11
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,445.44
Typical High
$2,137.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,348.96
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$562.34
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,548.82
Typical High
$3,090.30
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,621.81
Typical High
$1,949.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,659.59
Typical High
$2,630.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$6,025.60
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,412.54
Typical High
$2,454.71