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Stomach To Small Bowel Bypass With Vagotomy

Wisconsin 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 $7,244 · 10th–90th $1,549$13,4900%10%10th90th$7,244Professionalmedian $1,862 · 10th–90th $1,230$5,4950%10%10th90th$1,862$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
$2,570.40
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$3,801.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,317.64
Typical High
$14,125.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,344.23
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$3,311.31
Typical High
$5,248.07
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$9,332.54
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,691.53
Typical High
$4,265.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,778.28
Typical High
$7,585.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,238.72
Typical High
$9,549.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,511.89
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,570.40
Typical High
$4,677.35
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$2,511.89
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$2,884.03
Typical High
$4,466.84
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$8,128.31
Typical High
$8,128.31
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$6,165.95
Typical High
$9,332.54
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Security Health
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,786.30
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$5,370.32
Typical High
$20,892.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,862.09
Typical High
$5,128.61