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Gastric Bypass With Intestinal Rerouting

South Dakota 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 $2,754 · 10th–90th $1,698$4,6770%10%10th90th$2,754Professionalmedian $2,818 · 10th–90th $1,622$4,8980%10%10th90th$2,818$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
$1,778.28
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,621.81
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,981.07
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,691.53
Typical High
$4,677.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,754.23
Typical High
$13,182.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$4,073.80
Typical High
$4,073.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,951.21
Typical High
$3,548.13
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
$1,698.24
Median
$2,754.23
Typical High
$4,677.35
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,265.80
Typical High
$4,265.80