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Ohio rates for HCPCS 43260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.53 / $3,671.00 / $9,504.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$157.22 / $233.78 / $605.50
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$62.89 / $93.51 / $215.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.00 / $3,175.00 / $14,996.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.80 / $359.76 / $445.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.56 / $885.00 / $3,816.75
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$283.33 / $283.33 / $283.33
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$70.84 / $70.84 / $70.84
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.00 / $885.00 / $2,843.32
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$283.33 / $283.33 / $283.33
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$70.84 / $70.84 / $70.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $4,072.00 / $6,238.00