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Colorado 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 $6,457 · 10th–90th $794–$16,2180%10%10th90th$6,457Professionalmedian $603 · 10th–90th $427–$1,5140%20%10th90th$603$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $5,495.41 / $15,488.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $11,481.54 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $5,623.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $602.56 / $1,513.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $5,248.07 / $12,302.69