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Iowa rates for HCPCS 43262

Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy

Facilitymedian $3,236 · 10th–90th $589–$7,9430%10%10th90th$3,236Professionalmedian $871 · 10th–90th $331–$1,8200%5%10%10th90th$871$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
$602.56 / $3,388.44 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $4,786.30
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $891.25 / $2,041.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $831.76 / $9,332.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $870.96 / $1,000.00
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $4,786.30 / $4,786.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $6,309.57 / $10,232.93