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Georgia rates for HCPCS 0397T

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

Facilitymedian $3,715 · 10th–90th $1,349–$7,4130%10%10th90th$3,715Professionalmedian $331 · 10th–90th $50–$4070%20%10th90th$331$50.0$200.0$1.0K$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
$2,290.87 / $4,365.16 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $245.47 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $346.74 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $616.60 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $1,819.70 / $1,819.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $64.57 / $112.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $1,230.27 / $2,238.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $416.87 / $691.83