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Pennsylvania rates for HCPCS 0397T

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

Facilitymedian $2,692 · 10th–90th $661–$8,3180%5%10th90th$2,692Professionalmedian $245 · 10th–90th $45–$4270%10%10th90th$245$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
$831.76 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $234.42 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $501.19 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $218.78 / $218.78
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $66.07
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,995.26 / $7,244.36
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $302.00 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $524.81 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $380.19 / $630.96