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Maryland rates for HCPCS 43263

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

Facilitymedian $1,072 · 10th–90th $603–$2,6300%10%10th90th$1,072Professionalmedian $398 · 10th–90th $331–$7080%20%10th90th$398$200.0$500.0$1.0K$2.0K$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $389.05 / $707.95
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $380.19 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $812.83 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $457.09 / $741.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $354.81 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,202.26 / $2,630.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $426.58 / $707.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $371.54 / $467.74