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Maryland rates for HCPCS 43265

Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)

Facilitymedian $2,399 · 10th–90th $724–$8,5110%10%10th90th$2,399Professionalmedian $437 · 10th–90th $331–$6760%20%10th90th$437$200.0$500.0$1.0K$2.0K$5.0K$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
$2,818.38 / $3,548.13 / $8,511.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $2,570.40 / $3,630.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $426.58 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,202.26 / $2,630.27