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Arizona rates for HCPCS 0397T

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

Facilitymedian $2,089 · 10th–90th $245–$5,6230%5%10%10th90th$2,089Professionalmedian $257 · 10th–90th $44–$4370%10%10th90th$257$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,445.44 / $3,090.30 / $6,309.57
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
$295.12 / $1,148.15 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $275.42 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $104.71 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $426.58 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $933.25 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $371.54 / $616.60