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Bile or Pancreatic Duct Stent Exchange

Illinois 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 $2,570 · 10th–90th $479$8,5110%10%10th90th$2,570Professionalmedian $1,259 · 10th–90th $501$2,6300%20%10th90th$1,259$1.0$5.0$20.0$100.0$500.0$2.0K$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
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$2,089.30
Typical High
$8,317.64
Aetna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,762.47
Typical High
$10,471.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$6,918.31
Typical High
$10,000.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,258.93
Typical High
$2,630.27
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$4,365.16
Typical High
$8,511.38