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Virginia rates for HCPCS 43264

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

Facilitymedian $1,000 · 10th–90th $417–$6,1660%5%10th90th$1,000Professionalmedian $437 · 10th–90th $309–$8320%10%10th90th$437$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
$501.19 / $1,698.24 / $5,888.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $6,760.83 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,698.24 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $371.54 / $870.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $707.95 / $831.76
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $549.54 / $977.24
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $575.44 / $1,737.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $5,495.41 / $12,882.50