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Nationwide rates for HCPCS 43276

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

Facilitymedian $4,467 · 10th–90th $692–$11,7490%5%10%10th90th$4,467Professionalmedian $631 · 10th–90th $417–$2,0890%10%20%10th90th$631$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$794.33 / $4,365.16 / $10,964.78
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,162.28 / $3,801.89 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $6,165.95 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,698.24 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$977.24 / $977.24 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $4,265.80 / $10,964.78

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