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Georgia rates for HCPCS 43260

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

Facilitymedian $3,311 · 10th–90th $741–$7,4130%5%10th90th$3,311Professionalmedian $372 · 10th–90th $288–$1,0470%20%10th90th$372$500.0$1.0K$2.0K$5.0K$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
$1,202.26 / $3,890.45 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $2,630.27 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $724.44 / $2,398.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $371.54 / $1,047.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$257.04 / $257.04 / $323.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
53
Typical Low / Median / Typical High
$257.04 / $323.59 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $3,235.94 / $6,165.95