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Kentucky rates for HCPCS 43264

Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s)

Facilitymedian $2,138 · 10th–90th $457$5,4950%5%10th90th$2,138$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
$426.58 / $1,288.25 / $5,495.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,398.83 / $5,128.61
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $436.52 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $3,388.44 / $6,456.54