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Texas rates for HCPCS 43265

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

Facilitymedian $2,951 · 10th–90th $575–$12,5890%5%10th90th$2,951$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
$851.14 / $3,467.37 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $7,413.10 / $14,125.38
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $6,456.54 / $6,456.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $3,467.37 / $3,890.45
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $28,840.32 / $28,840.32
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $691.83 / $2,511.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $645.65 / $1,096.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $4,073.80 / $7,413.10