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Iowa rates for HCPCS 43260

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

Facilitymedian $3,236 · 10th–90th $537–$8,5110%10%10th90th$3,236Professionalmedian $794 · 10th–90th $302–$1,3490%10%10th90th$794$200.0$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
$537.03 / $3,388.44 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $4,786.30
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $758.58 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $741.31 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $794.33 / $851.14
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $4,786.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $6,309.57 / $10,232.93