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Georgia 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 $1,202–$7,4130%5%10th90th$4,365Professionalmedian $537 · 10th–90th $407–$1,7380%20%10th90th$537$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
$1,819.70 / $4,570.88 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $3,630.78 / $9,120.11
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $630.96 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,230.27 / $4,786.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $537.03 / $1,737.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $3,235.94 / $6,165.95