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Pennsylvania 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
$575.44 / $3,981.07 / $8,511.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,248.07 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $831.76 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$107.15 / $107.15 / $107.15
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $9,332.54 / $28,840.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $3,311.31 / $8,511.38
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $524.81 / $645.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $416.87 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,951.21 / $11,220.18