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North Carolina 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 $646 · 10th–90th $117–$3,3880%10%10th90th$646Professionalmedian $219 · 10th–90th $219–$2190%50%100%$219$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $1,023.29 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $489.78 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $141.25 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $691.83 / $1,479.11
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $741.31 / $741.31