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Nationwide rates for HCPCS 0397T

Endoscopic retrograde cholangiopancreatography (ERCP), with optical endomicroscopy (List separately in addition to code for primary procedure)

Facilitymedian $3,388 · 10th–90th $331–$9,3330%10%10th90th$3,388Professionalmedian $245 · 10th–90th $45–$5250%20%10th90th$245$0.0$0.2$2.0$20.0$200.0$2.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $3,388.44 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $234.42 / $389.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,888.44 / $13,489.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $199.53 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $512.86 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $218.78 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $1,047.13 / $3,388.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $398.11 / $691.83

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