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Washington 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 $5,012 · 10th–90th $631–$21,8780%5%10%10th90th$5,012$1.0$10.0$100.0$1.0K$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
$660.69 / $9,549.93 / $22,387.21
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $15,135.61 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $870.96 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $954.99 / $8,128.31
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $891.25 / $912.01
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $4,786.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $15,848.93 / $30,902.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $17,378.01 / $33,884.42