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Nevada rates for HCPCS 43262

Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy

Facilitymedian $2,291 · 10th–90th $1,096–$7,7620%20%10th90th$2,291Professionalmedian $363 · 10th–90th $7–$8320%10%20%10th90th$363$1.0$5.0$20.0$100.0$500.0$2.0K$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
$1,000.00 / $2,238.72 / $5,011.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,025.60 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $363.08 / $831.76
Hometown Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,089.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $2,187.76 / $4,265.80