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Nevada rates for HCPCS 43264

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

Facilitymedian $2,239 · 10th–90th $537–$6,0260%10%20%10th90th$2,239Professionalmedian $380 · 10th–90th $9–$9330%10%10th90th$380$1.0$5.0$20.0$100.0$500.0$2.0K$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
$537.03 / $2,187.76 / $5,011.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $6,025.60 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $380.19 / $933.25
Hometown Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,089.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $2,187.76 / $4,265.80