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Nebraska rates for HCPCS 43260

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

Facilitymedian $5,012 · 10th–90th $501–$8,5110%10%20%10th90th$5,012Professionalmedian $759 · 10th–90th $617–$1,0000%20%10th90th$759$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
$2,344.23 / $7,244.36 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $6,918.31 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $512.86 / $5,623.41
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 / $758.58 / $1,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $5,495.41 / $6,760.83