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Montana rates for HCPCS 0397T

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

Facilitymedian $91 · 10th–90th $58–$3890%50%10th90th$91Professionalmedian $257 · 10th–90th $45–$3890%10%20%10th90th$257$50.0$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $257.04 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $85.11 / $512.86
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $95.50
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $95.50
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $131.83 / $457.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $85.11 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $575.44 / $741.31