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Connecticut rates for HCPCS 43263

Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi

Facilitymedian $4,677 · 10th–90th $2,630–$8,5110%10%20%10th90th$4,677Professionalmedian $407 · 10th–90th $331–$8710%10%20%10th90th$407$50.0$200.0$1.0K$5.0K$20.0K

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
$2,630.27 / $4,570.88 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $398.11 / $851.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $11,748.98 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $616.60 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,737.80 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $602.56 / $1,047.13
ConnectiCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $524.81 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $6,918.31 / $11,220.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $575.44 / $1,230.27