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New York rates for HCPCS 43260

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

Facilitymedian $4,169 · 10th–90th $759–$11,2200%5%10th90th$4,169$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
$489.78 / $3,630.78 / $10,964.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $5,495.41 / $12,882.50
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,698.24 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,479.11 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $436.52 / $1,071.52
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,981.07 / $9,120.11
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $380.19 / $1,348.96