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Wisconsin rates for HCPCS 43265

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

Facilitymedian $8,318 · 10th–90th $832–$16,9820%5%10%10th90th$8,318Professionalmedian $891 · 10th–90th $490–$1,5850%10%10th90th$891$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
$467.74 / $870.96 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $10,232.93 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,288.25 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $741.31 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $812.83 / $8,317.64
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $5,754.40 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $891.25 / $1,380.38
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $15,488.17 / $15,488.17
Quartz
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$870.96 / $870.96 / $870.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $7,585.78 / $9,772.37