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South Dakota rates for HCPCS 43264

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

Facilitymedian $3,388 · 10th–90th $257–$7,0790%10%10th90th$3,388Professionalmedian $646 · 10th–90th $457–$7940%20%10th90th$646$100.0$200.0$500.0$1.0K$2.0K$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
$257.04 / $3,388.44 / $7,413.10
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $707.95 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $660.69 / $1,659.59
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $851.14 / $851.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $645.65 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $7,943.28