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Wisconsin rates for HCPCS 43260

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

Facilitymedian $7,413 · 10th–90th $617$11,4820%10%10th90th$7,413Professionalmedian $661 · 10th–90th $363$1,1750%10%10th90th$661$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$346.74 / $645.65 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $954.99 / $1,513.56
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
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $489.78 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $537.03 / $8,317.64
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
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $5,754.40 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $660.69 / $1,023.29
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $10,715.19 / $10,715.19
Quartz
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$436.52 / $5,754.40 / $8,511.38
Quartz
Facility/Professional
Facility
Modifier
53
Typical Low / Median / Typical High
$107.15 / $1,445.44 / $2,137.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,585.78 / $9,120.11