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Stomach To Small Bowel Bypass With Vagotomy

West Virginia 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 $1,349 · 10th–90th $1,349$2,1880%50%90th$1,349Professionalmedian $1,349 · 10th–90th $1,122$1,8620%10%20%10th90th$1,349$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
$1,348.96
Median
$1,348.96
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,348.96
Typical High
$1,698.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,737.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$2,187.76
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,778.28
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,380.38
Typical High
$25,118.86
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,348.96
Typical High
$2,089.30