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Pennsylvania rates for HCPCS 43264

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

Facilitymedian $3,548 · 10th–90th $617$10,0000%5%10th90th$3,548$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$588.84 / $3,548.13 / $10,000.00
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,073.80 / $35,481.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,165.95 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $1,659.59 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,884.03 / $3,388.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $7,585.78 / $16,982.44
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,630.78 / $17,378.01
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $2,454.71 / $8,709.64
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $416.87 / $660.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $3,311.31 / $12,302.69