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Texas rates for HCPCS 0397T

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

Facilitymedian $1,905 · 10th–90th $200$6,9180%5%10th90th$1,905Professionalmedian $245 · 10th–90th $45$4370%10%10th90th$245$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
$630.96 / $2,511.89 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $234.42 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $537.03 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,047.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $275.42 / $3,019.95
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $234.42 / $389.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $194.98 / $446.68
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $933.25 / $2,290.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $389.05 / $616.60
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $45.71 / $346.74