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Ohio rates for HCPCS 43265

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

Facilitymedian $3,467 · 10th–90th $708–$10,7150%5%10th90th$3,467$100.0$500.0$2.0K$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
$645.65 / $3,388.44 / $10,715.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $3,388.44 / $12,882.50
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $446.68 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $724.44 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $724.44 / $5,495.41
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $4,570.88 / $8,709.64