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California 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 $6,166 · 10th–90th $1,778–$13,8040%10%10th90th$6,166Professionalmedian $447 · 10th–90th $372–$1,1220%20%40%10th90th$447$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
$2,691.53 / $7,413.10 / $17,782.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $13,489.63
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $4,897.79 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $4,265.80 / $6,606.93
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $446.68 / $602.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $457.09 / $1,122.02
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $20,892.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $549.54 / $954.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $7,079.46 / $15,135.61