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Bile or Pancreatic Duct Stent Exchange

Georgia rates for HCPCS 43276

During an examination in which a scope is passed through the mouth to where the bile and pancreatic ducts drain into the intestine, an existing stent — a small tube holding the duct open — is taken out and a new one is put in its place. The duct may be stretched open before and after, with a guide wire used to hold the path. It is done when a stent has clogged, slipped, or simply reached the end of its useful life.

Rates data updated July 2026.

Facilitymedian $5,129 · 10th–90th $1,202$10,0000%10%10th90th$5,129Professionalmedian $562 · 10th–90th $427$1,8200%10%10th90th$562$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
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$5,495.41
Typical High
$17,378.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,630.78
Typical High
$9,549.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,659.59
Typical High
$4,786.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$1,819.70
Kaiser Permanente
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$3,235.94
Typical High
$6,309.57