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Scope Procedure With Widening the Duct Opening

Louisiana rates for HCPCS 43262

A flexible scope is passed through the mouth to the point where the bile and pancreas ducts drain into the small intestine, and the muscular valve at that opening is cut to widen it. Widening the opening lets trapped stones pass, relieves blockage and gives access for further work inside the ducts. It is done under sedation, with no cut in the abdomen.

Facilitymedian $2,399 · 10th–90th $661$6,0260%5%10th90th$2,399$50.0$200.0$1.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,659.59
Typical High
$4,365.16
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$6,918.31
Christus
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$2,951.21
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,818.38
Typical High
$7,762.47