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Nationwide rates for HCPCS 43274

Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent

Facilitymedian $4,365 · 10th–90th $661–$11,4820%5%10%10th90th$4,365Professionalmedian $617 · 10th–90th $407–$1,9050%20%10th90th$617$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$758.58 / $4,365.16 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $6,309.57 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,621.81 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $4,265.80 / $10,964.78

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