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Gastric Bypass With Intestinal Rerouting

New Mexico rates for HCPCS 43847

An open surgical weight-loss procedure for severe obesity that combines reducing the size of the stomach with rerouting a longer segment of the small intestine, so that fewer calories and nutrients are absorbed. It is a more extensive version of gastric bypass surgery aimed at greater weight loss.

Rates data updated July 2026.

Facilitymedian $2,399 · 10th–90th $1,698$4,5710%10%10th90th$2,399Professionalmedian $1,905 · 10th–90th $1,585$3,0200%20%10th90th$1,905$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
$1,905.46
Median
$2,691.53
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,819.70
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,238.72
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,454.71
Typical High
$3,548.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,630.27
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,344.23
Typical High
$3,715.35
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$4,365.16
Typical High
$12,589.25
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,398.83
Typical High
$3,801.89