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New Hampshire rates for HCPCS 43263

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

Facilitymedian $2,399 · 10th–90th $692–$9,7720%20%10th90th$2,399Professionalmedian $479 · 10th–90th $339–$8710%10%10th90th$479$100.0$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
$1,584.89 / $2,398.83 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $398.11 / $758.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,677.35 / $6,309.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $691.83 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $602.56 / $954.99
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $4,265.80 / $9,549.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $524.81 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $4,265.80 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $575.44 / $1,096.48
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $281.84 / $416.87