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Massachusetts rates for HCPCS 43260

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

Facilitymedian $2,818 · 10th–90th $389–$5,6230%10%10th90th$2,818$100.0$500.0$2.0K$10.0K$50.0K

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
$1,513.56 / $2,884.03 / $4,897.79
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $3,981.07 / $28,840.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $8,912.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $645.65 / $3,630.78
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $398.11 / $3,311.31
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,801.89 / $9,772.37
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,951.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $3,981.07 / $28,840.32
Mass General Brigham
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $8,912.51
Mass General Brigham
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,548.13 / $9,772.37