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Washington, DC rates for HCPCS 43260

Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Facilitymedian $4,074 · 10th–90th $1,413–$7,7620%20%10th90th$4,074Professionalmedian $309 · 10th–90th $288–$7080%50%10th90th$309$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $4,073.80 / $4,570.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $309.03 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $10,000.00 / $25,118.86