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Illinois rates for HCPCS 43273

Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure)

Facilitymedian $1,698 · 10th–90th $178–$7,7620%5%10%10th90th$1,698Professionalmedian $316 · 10th–90th $129–$7590%20%10th90th$316$1.0$5.0$20.0$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
$177.83 / $1,737.80 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,288.25 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $10,000.00 / $10,000.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $316.23 / $758.58
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $831.76 / $2,290.87