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Texas rates for HCPCS 43264

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

Facilitymedian $2,188 · 10th–90th $525–$7,4130%5%10th90th$2,188$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$676.08 / $2,290.87 / $7,244.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $4,570.88 / $9,332.54
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $1,862.09 / $5,128.61
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $2,290.87 / $2,818.38
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $28,840.32 / $28,840.32
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $630.96 / $2,818.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $562.34 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $3,311.31 / $7,244.36