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Stomach To Small Bowel Bypass With Vagotomy

South 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 $1,995 · 10th–90th $1,230$4,3650%10%10th90th$1,995Professionalmedian $2,042 · 10th–90th $1,175$3,6310%10%10th90th$2,042$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
$1,288.25
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,174.90
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$3,630.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,778.28
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,995.26
Typical High
$9,549.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$2,951.21
Typical High
$2,951.21
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,137.96
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,995.26
Typical High
$3,388.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,162.28
Typical High
$3,162.28