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North Carolina rates for HCPCS 0397T

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

Facilitymedian $257 · 10th–90th $74–$5,4950%10%20%10th90th$257Professionalmedian $331 · 10th–90th $71–$9770%10%20%10th90th$331$1.0$5.0$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
$165.96 / $5,248.07 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $181.97 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $407.38 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $512.86 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $165.96 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $691.83 / $1,479.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $389.05 / $676.08
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13