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New Mexico rates for HCPCS 43263

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

Facilitymedian $550 · 10th–90th $380–$6,1660%10%10th90th$550Professionalmedian $389 · 10th–90th $331–$6760%20%10th90th$389$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,380.38 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $380.19 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $537.03 / $741.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $512.86
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $512.86 / $912.01
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $588.84 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $5,011.87 / $8,317.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $562.34 / $758.58