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Florida rates for HCPCS 0397T

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

Facilitymedian $3,236 · 10th–90th $646–$8,9130%5%10%10th90th$3,236Professionalmedian $275 · 10th–90th $44–$4370%10%10th90th$275$20.0$100.0$500.0$2.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $3,311.31 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $257.04 / $389.05
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $2,089.30 / $8,912.51
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $45.71 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $218.78 / $218.78
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $45.71 / $50.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $87.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $1,412.54 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $371.54 / $616.60
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $346.74 / $346.74